Next Generation Family Medical Clinic, LLC

NPI #1548646052 in Wagoner, Oklahoma

Provider Information

NPI Number: 1548646052
Entity Type: Organization
Organization Name: Next Generation Family Medical Clinic, LLC
Primary Specialty: General Practice
Enumeration Date: Aug 6, 2015
Last Updated: Feb 22, 2016

Practice Location

Address: 1102 W CHEROKEE ST STE A
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4600
Phone: (918) 201-4502

Authorized Official

Name: DR. MICHELE BUCHOLTZ, D.O.,PH.D
Title: PRESIDENT
Phone: (918) 201-4502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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