MEDICARE: DR. MICHELLE LAURINE FIRLIT MD

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
1	207VM0101X	Maternal & Fetal Medicine Physician	44504	OK

General Provider Information

NPI Number	:	1811491137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE LAURINE FIRLIT MD

Provider Business Mailing Address
First Line	:	4140 W MEMORIAL RD STE 321
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8300
Country	:	US
Telephone Number	:	405-748-4726
Fax Number	:	405-607-8497

Provider Business Practice Location Address
First Line	:	3435 NW 56TH ST STE 303
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4414
Country	:	US
Telephone Number	:	405-606-2850
Fax Number	:	405-606-2855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	03/18/2026

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