Individual
SAMUEL JAMES RATERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 E 18TH ST, GROVE, OK 74344-2907
(918) 786-2243
(918) 787-3403
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(918) 786-2243
(918) 787-3403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27635
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200295360A
—
OK
Enumeration date
06/18/2007
Last updated
04/05/2017
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