Max To-Vi-Ee Niedo

NPI #1467169755 in Lawton, Oklahoma

Provider Information

NPI Number: 1467169755
Entity Type: Individual
Name: Max To-Vi-Ee Niedo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Recovery Care
Enumeration Date: Nov 4, 2022
Last Updated: Nov 4, 2022

Practice Location

Address: 8501 NW MADISCHE RD
City: Lawton
State: Oklahoma
ZIP Code: 73507-1221
Phone: (580) 492-3614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Recovery Care — Recovery Care	261QR0800X	Primary

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