Individual
DR. RANDY JAMES GRELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1025 E 2ND ST, CUSHING, OK 74023-4136
(918) 225-3627
(918) 225-1008
Mailing address
1025 E 2ND ST, CUSHING, OK 74023-4136
(918) 225-3627
(918) 225-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3663
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137700B
—
OK
Enumeration date
07/25/2006
Last updated
05/01/2014
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