Individual
DR. JEREMIAH JACOB MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072-1810
(405) 515-0649
(405) 360-6769
Mailing address
3400 W TECUMSEH RD STE 101, NORMAN, OK 73072-1810
(405) 515-0649
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31525
OK
207X00000X
Orthopaedic Surgery Physician
60067
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
60067
AZ
Other
Enumeration date
05/15/2015
Last updated
10/04/2023
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