Individual
MADISEN FAE DORAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 660-3464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41410
OK
Other
Enumeration date
04/15/2020
Last updated
02/13/2024
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