Individual
MICHELLE DIANNE LIEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
OU COLLEGE OF PHARMACY, 1110 N. STONEWALL AVE, CPB 206, OKLAHOMA CITY, OK 73117-1223
(405) 271-6878
(405) 271-6430
Mailing address
OU COLLEGE OF PHARMACY, 1110 N. STONEWALL AVE, CPB 206, OKLAHOMA CITY, OK 73117-1223
(405) 271-6878
(405) 271-6430
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12727
OK
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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