| Garrick Shreck Do Pc | |
|
1921 W 6th Ave Ste A Stillwater OK 74074-4204 | |
| (405) 533-2433 | |
| (833) 623-1821 |
| Full Name | Garrick Shreck Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1921 W 6th Ave Ste A, Stillwater, Oklahoma |
| Authorized Official Name and Position | Garrick L Shreck (OWNER) |
| Authorized Official Contact | 4055332433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garrick Shreck Do Pc 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 | Garrick Shreck Do Pc 1921 W 6th Ave Ste A Stillwater OK 74074-4204 Ph: (405) 533-2433 |
| NPI Number | 1811010424 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 1052371564 |
|---|---|
| Medicare Enrollment ID | O20041018001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811010424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Garrick L Shreck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043205651 PECOS PAC ID: 3678533189 Enrollment ID: I20041019000403 |
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