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Individual

ANDREA WILLEITNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 EVERETT DR, OU MEDICAL CENTER / NEONATAL-PERINATAL MEDICINE, OKLAHOMA CITY, OK 73104-5047
(405) 271-5215
Mailing address
208 NW 20TH ST, OKLAHOMA CITY, OK 73103-1915
(505) 217-6037

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25400
OK
2080N0001X
Neonatal-Perinatal Medicine Physician
45900-020
WI

Other

Enumeration date
09/01/2006
Last updated
02/18/2011
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