Individual
DOUGLAS ALLEN OHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
900 E 13TH ST, SUITE 102, GROVE, OK 74344-2975
(918) 786-7200
(918) 786-7212
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(918) 786-7200
(918) 786-7212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18789
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213060B
—
OK
05
—
100736700P
—
OK
Enumeration date
07/19/2006
Last updated
04/19/2017
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