Individual
TAMMIE LYNN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
310 2ND AVE SW, STE 204, MIAMI, OK 74354-6743
(918) 542-4300
(918) 542-3310
Mailing address
310 2ND AVE SW, STE 204, MIAMI, OK 74354-6743
(918) 542-4300
(918) 542-3310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
03963
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045440A
—
OK
Enumeration date
08/29/2006
Last updated
04/17/2013
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