| Michael Gietzen, Do | |
|
562 S Elliott St Pryor OK 74361-6411 | |
| (918) 825-3389 | |
| (918) 825-5505 |
| Full Name | Michael Gietzen, Do |
|---|---|
| Speciality | Family Medicine |
| Location | 562 S Elliott St, Pryor, Oklahoma |
| Authorized Official Name and Position | Robert Langland (CFO) |
| Authorized Official Contact | 9185791000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gietzen, Do 1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 Ph: (918) 579-3825 | Michael Gietzen, Do 562 S Elliott St Pryor OK 74361-6411 Ph: (918) 825-3389 |
| NPI Number | 1821153164 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821153164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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