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NPI Code Detail

MEDICARE: DR. MICHAEL WARREN STRANGE M.D.

MEDICARE: DR. MICHAEL WARREN STRANGE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician12115OK

General Provider Information

NPI Number : 1144295429
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL WARREN STRANGE M.D.
Provider Business Mailing Address
First Line : 1514 S RANGE RD
Second Line :
City : STILLWATER
State : OK
Zip : 74074-1097
Country : US
Telephone Number : 405-377-8432
Fax Number :
Provider Business Practice Location Address
First Line : 1202 W FARM RD
Second Line :
City : STILLWATER
State : OK
Zip : 74078-2000
Country : US
Telephone Number : 405-744-7016
Fax Number : 405-744-6556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/08/2007

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