SearchOklahoma133V00000X

Larry Immenschuh, RDLD

NPI 1699914168 · on the registry since 2009

Practice

Address
3009 N. W. Wilson Street
Fort Sill, OK 73503
Phone
(580) 458-2134
Fax
(580) 458-2314

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma