Individual
GERALD SEEFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 CEDAR RIDGE RD, BROKEN ARROW, OK 74011-1101
(918) 286-6960
Mailing address
66 CEDAR RIDGE RD, BROKEN ARROW, OK 74011-1101
(918) 286-6960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15842
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213640A
—
OK
01
—
800522535
MEDICARE GROUP PIN
OK
Enumeration date
03/28/2006
Last updated
06/25/2013
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