Healthcare Provider Details

I. General information

NPI: 1982620506
Provider Name (Legal Business Name): STEPHEN W. MIHALSKY, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S BRYANT AVE SUITE 407
EDMOND OK
73034-6399
US

IV. Provider business mailing address

2224 NW 50TH ST SUITE 276W
OKLAHOMA CITY OK
73112-8046
US

V. Phone/Fax

Practice location:
  • Phone: 405-348-5060
  • Fax:
Mailing address:
  • Phone: 405-858-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN W MIHALSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 405-348-5060