Organization
MARTIN H GROTHEER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY OAKLEY (MANAGER)
(918) 542-6644
Entity
Organization
Contact information
Practice address
10 S TREATY RD, MIAMI, OK 74354-5330
(918) 542-6644
(918) 542-6167
Mailing address
PO BOX 1328, MIAMI, OK 74355-1328
(918) 542-6644
(918) 542-6167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10117
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008360A
—
OK
Enumeration date
12/06/2007
Last updated
04/19/2012
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