SearchOklahoma101YP2500X

Michael Radonski

NPI 1942819081 · on the registry since 2020 · sole proprietor

Practice

Address
5601 Nw 72nd St Ste 260m
Warr Acres, OK 73132
Phone
(405) 676-1072
Organisation at this address
Revan Inc
Rediscover You
Revan Health Llc
Kmf Medical Group
Nutrition Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YM0800X
Licence states on file
AZ, OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-08

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