Individual
MICHAEL ROBERT HAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CONTRACTOR
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
Mailing address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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