Individual
GRANT WEIRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4420 N LINCOLN, OKLAHOMA CITY, OK 73105
(405) 425-0341
(405) 425-0313
Mailing address
4420 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0341
(405) 425-0313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
81405
OK
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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