Individual
DR. CATHY NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-4646
(405) 372-4685
Mailing address
821 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-4646
(405) 372-4685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20253
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114250A
—
OK
01
—
100254520A
SOONERCARE
OK
Enumeration date
08/30/2005
Last updated
07/08/2007
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