Organization
CENTERLINE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SCOTT WILHELM DC (PRESIDENT)
(918) 455-0118
Entity
Organization
Contact information
Practice address
411 W NEW ORLEANS ST, SUITE D, BROKEN ARROW, OK 74011-2218
(918) 455-0118
(918) 455-0121
Mailing address
411 W NEW ORLEANS ST, SUITE D, BROKEN ARROW, OK 74011-2218
(918) 455-0118
(918) 455-0121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3523
OK
Other
Enumeration date
08/05/2007
Last updated
09/12/2007
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