Individual
DR. MICHELLE LYNN BRUNNABEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, DO
Contact information
Practice address
13313 N MERIDIAN AVE STE C, OKLAHOMA CITY, OK 73120
(405) 254-1757
(405) 254-1758
Mailing address
13313 N MERIDIAN AVE STE C, OKLAHOMA CITY, OK 73120-8316
(405) 254-1757
(405) 254-1758
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A11406
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
5528
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200544490A
—
OK
Enumeration date
11/08/2010
Last updated
05/16/2018
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