Individual
DR. HALIE MUCKELRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO, MS
Contact information
Practice address
1025 E 2ND ST, CUSHING, OK 74023-4136
(918) 579-3825
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6452
OK
Other
Enumeration date
06/27/2017
Last updated
09/14/2020
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