Individual
DR. FAUSTINO MIRES KAZENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3301 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
(405) 942-5043
Mailing address
3301 NW 50TH ST, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
(405) 942-5043
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
90018947-0054
TX
Other
Enumeration date
02/26/2012
Last updated
08/20/2014
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