Provider Demographics
NPI:1699855536
Name:PAGE, MICHAEL DEE II (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DEE
Last Name:PAGE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 N HEMINGWAY DR
Mailing Address - Street 2:# 255
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-2241
Mailing Address - Country:US
Mailing Address - Phone:405-476-7083
Mailing Address - Fax:
Practice Address - Street 1:4400 N HEMINGWAY DR
Practice Address - Street 2:# 255
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-2241
Practice Address - Country:US
Practice Address - Phone:405-476-7083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3447111N00000X, 111NN1001X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NN1001XChiropractic ProvidersChiropractorNutrition
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitation