Individual
MR. WILLIAM KARL THUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Contact information
Practice address
1816 N 12TH ST, BROKEN ARROW, OK 74012-9392
(918) 724-9239
Mailing address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9111
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
R0112640
OK
363LF0000X
Family Nurse Practitioner
Primary
206441
OK
Other
Enumeration date
01/03/2022
Last updated
06/28/2022
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