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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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WAGNER, MICHAEL DAVID
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Practice Address: |
835 SPRUCE STREET
SUITE B
ESPANOLA NM 87532
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Phone #: |
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Fax #: |
(405) 272-6985 |
County: |
NOT OKLAHOMA |
License: |
12325 |
Dated: |
7/2/1979 |
Expires: |
7/1/2002 |
License Type: |
Medical Doctor |
Specialty: |
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Internal Medicine |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of NM Sch Of Med, Albuquerque Nm 87131 |
Graduated: |
5 /
1978 |
CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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