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Individual

DR. MEGAN MICHELLE JOHANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-5922
Mailing address
2804 MONTELL CT, PLANO, TX 75025-6043
(918) 695-9833

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5577
OK

Other

Enumeration date
05/23/2013
Last updated
01/11/2019
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