Organization
NEXT GENERATION FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE BUCHOLTZ D.O.,PH.D (PRESIDENT)
(918) 201-4502
Entity
Organization
Contact information
Practice address
1102 W CHEROKEE ST STE A, WAGONER, OK 74467-4600
(918) 201-4502
(918) 201-4503
Mailing address
1102 W CHEROKEE ST STE A, WAGONER, OK 74467-4600
(918) 201-4502
(918) 201-4503
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4383
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275754780
—
OK
Enumeration date
08/06/2015
Last updated
02/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us