Individual
GREGORY SHAWN FELZIEN
Active
Individual
GREGORY SHAWN FELZIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23900
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152095001
—
AR
05
—
179537436E
—
GA
05
—
200015000A
—
OK
01
—
202I445780
PTAN
GA
Enumeration date
12/05/2005
Last updated
03/14/2012
Update your record
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