Provider Demographics
NPI:1386099596
Name:MICHAEL THROWER MD, PLLC
Entity type:Organization
Organization Name:MICHAEL THROWER MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-323-8522
Mailing Address - Street 1:2000 W DANFORTH RD STE 130-221
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-4687
Mailing Address - Country:US
Mailing Address - Phone:405-323-8522
Mailing Address - Fax:405-603-6474
Practice Address - Street 1:2000 W DANFORTH RD STE 130-221
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-4687
Practice Address - Country:US
Practice Address - Phone:405-323-8522
Practice Address - Fax:405-603-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK25702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty