Organization
MICHELINE WIJTENBURG PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE CHRISMAN PSYD (PRESIDENT)
(405) 292-1000
Entity
Organization
Contact information
Practice address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 310-3561
(405) 310-4052
Mailing address
1225 W MAIN ST, SUITE 102, NORMAN, OK 73069-6824
(405) 310-3561
(405) 310-4052
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1158
OK
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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