Most Relevant Information
Provider Data
| NPI Number: | 1003449711 |
| Provider Name: | MICHAEL ALAN WREST |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2020 |
| Last Updated: | 02/20/2020 |
Provider Practice Location
2325 S HARVARD AVE
TULSA
OK
741143300
Practice Location Phone/Fax
| Phone: | 9187124301 |
| Fax: | 9185601399 |
Provider Mailing Location
2325 S HARVARD AVE
TULSA
OK
741143300
Provider Mailing Phone/Fax
| Phone: | 9187124301 |
| Fax: | 9185601399 |