Organization
MEDOK SOUTH MAY LLC
Active
Other names
Motive Men's Wellness, Premier Plus Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILSON DO (OWNER)
(405) 659-7114
Entity
Organization
Contact information
Practice address
2804 SW 134TH ST, OKLAHOMA CITY, OK 73170-5474
(405) 676-8608
(405) 676-8631
Mailing address
2804 SW 134TH ST, OKLAHOMA CITY, OK 73170-5474
(405) 676-8608
(405) 676-8631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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