Individual
MICHELLE COLLINS WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2424 E 21ST ST STE 340, TULSA, OK 74114-1722
(918) 728-3100
(918) 728-3376
Mailing address
3131 S ZUNIS AVE, TULSA, OK 74105-2232
(619) 218-8358
(918) 728-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101252959
VA
207N00000X
Dermatology Physician
01059900A
IN
207N00000X
Dermatology Physician
Primary
38685
OK
Other
Enumeration date
12/12/2005
Last updated
09/29/2022
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