Individual
MICHAEL G CHEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5320 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2098
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2005000860
MO
363LF0000X
Family Nurse Practitioner
Primary
202145
OK
Other
Enumeration date
07/27/2006
Last updated
08/18/2021
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