person
John Michael Neisen, PA-C
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1073180337

John Michael Neisen is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. John Michael Neisen practices in Tulsa, OK and has the professional credentials of PA-C. The NPI Number for John Michael Neisen is 1073180337 and holds a License No. 4613 (Oklahoma).

The current practice location address for John Michael Neisen is 6161 S Yale Ave, Tulsa, OK and can be reached out via phone at 918-494-1805 and via fax at 918-494-4573.

Location: 6161 S Yale Ave, Tulsa, OK, 74136-3331
person
Provider Profile Details
NPI Number
1073180337
Provider Name
John Michael Neisen
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6161 S Yale Ave, Tulsa, OK, 74136-3331
Phone Number
918-494-1805
Fax Number
918-494-4573
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6161 S Yale Ave
City
State
Zip
74136-1992
Phone Number
918-494-1805
Fax Number
918-494-4573
person
Provider Business Mailing Address Details
Address
6161 S Yale Ave
City
State
Zip
74136-1992
Phone Number
918-494-1805
Fax Number
918-494-4573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4613 (Oklahoma)
Definition
Definition to come...
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