Organization
G E EMDE, MD
Active
Other names
G E EMDE, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E HATTEY (OFFICE MANAGER)
(405) 372-4646
Entity
Organization
Contact information
Practice address
821 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-4646
Mailing address
821 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251880A
—
OK
Enumeration date
09/28/2007
Last updated
09/28/2007
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