Individual
MR. MICHAEL LEE BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC LAT
Contact information
Practice address
180 W BROOKS ST, NORMAN, OK 73019-1018
(405) 325-8200
Mailing address
14209 BRIARCLIFF DR, OKLAHOMA CITY, OK 73170-7288
(405) 206-3814
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
503
OK
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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