Individual
MICHAEL WAYNE HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
511 WINDSOR DR, STILLWATER, OK 74074-6962
(405) 707-0900
(405) 707-3363
Mailing address
511 WINDSOR DR, STILLWATER, OK 74074-6962
(405) 707-0900
(405) 707-3363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1771
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1771
STATE LICENSE
OK
05
—
200219760A
—
OK
Enumeration date
09/10/2008
Last updated
01/30/2009
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