Individual
MARK M HUYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 EVERETT DR, 6E238, OKLAHOMA CITY, OK 73104-5047
(405) 271-6434
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
14473
OK
Other
Enumeration date
03/14/2006
Last updated
07/03/2008
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