| Martin H Grotheer Md | |
|
10 S Treaty Rd Miami OK 74354-5330 | |
| (918) 542-6644 | |
| (918) 542-6167 |
| Full Name | Martin H Grotheer Md |
|---|---|
| Speciality | Family Medicine |
| Location | 10 S Treaty Rd, Miami, Oklahoma |
| Authorized Official Name and Position | Shelly Oakley (MANAGER) |
| Authorized Official Contact | 9185426644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin H Grotheer Md Po Box 1328 Miami OK 74355-1328 Ph: (918) 542-6644 | Martin H Grotheer Md 10 S Treaty Rd Miami OK 74354-5330 Ph: (918) 542-6644 |
| NPI Number | 1891978490 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 04/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891978490 | NPI | - | NPPES |
| 200008360A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10117 (Oklahoma) | Primary |
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