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Individual

DR. THOMAS DANIEL MIHELICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 382-2553
(918) 382-2563
Mailing address
1145 S UTICA AVE, TULSA, OK 74104-4000
(918) 579-3825
(918) 579-1262

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13790
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100136270A
OK
Enumeration date
07/10/2006
Last updated
03/09/2020
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