Individual
MARK JEREMY ROSENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2822
(405) 379-4201
(405) 379-4264
Mailing address
100 MCDOUGAL DR, HOLDENVILLE, OK 74848-2822
(405) 379-4259
(405) 379-4252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8261
OK
Other
Enumeration date
07/10/2008
Last updated
09/22/2023
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