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Individual

DR. MICHAEL EUGENE SALRIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1900 GORDON COOPER DR, SHAWNEE, OK 74801-8603
(405) 878-7160
(405) 878-7149
Mailing address
11487 S 354, EARLSBORO, OK 74840-9011
(405) 382-0697
(405) 382-0421

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2770
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10050190A
OK
Enumeration date
07/13/2005
Last updated
01/14/2011
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