Organization
TECUMSEH MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS WENDY FAITH HELLER DO (PRESIDENT)
(405) 598-6595
Entity
Organization
Contact information
Practice address
418 E WALNUT ST, TECUMSEH, OK 74873
(405) 598-6595
(405) 598-6103
Mailing address
418 E WALNUT ST, TECUMSEH, OK 74873
(405) 598-6595
(405) 598-6103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004950A
—
OK
Enumeration date
09/29/2006
Last updated
01/20/2010
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