Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DAVID RADER, M.D.
ActiveDermatology · ELK CITY, OK
Registration Details
- NPI Number
- 1619966108
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.508962260209 yrs)
- Last Updated
- Oct 24, 2008
- Licenses
-
18832 (OK)18832 (OK)18832 (OK)
Practice Information
- Address
-
1121 W 3RD STELK CITY, OK, 736445103Browse OK providers · Browse ZIP 73644
- Phone
- 5802433376
- Fax
- 5802433377
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.