Individual
MICHAEL EDWARD BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
(405) 924-1182
Mailing address
725 NE 36TH ST, OKLAHOMA CITY, OK 73105-7203
(405) 924-1182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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