Individual
DR. MITCHELL BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
384
OK
213ES0103X
Foot & Ankle Surgery Podiatrist
59.000844
OH
Other
Enumeration date
07/01/2019
Last updated
01/15/2026
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