IndividualActive
Mark Wolraich, MD
NPI 1962470211 · Developmental - Behavioral Pediatrics Physician · Oklahoma City, OK
Provider details
- NPI number
- 1962470211
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 22350 (OK)
Practice location
1100 Ne 13th St
Csc
Oklahoma City, OK 73117-1039
Phone: (405) 271-6824
Mailing address
1122 Ne 13th St
Oklahoma City, OK 73117-1039
Registry dates
- Enumerated
- 2006-03-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.