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WEGNER, EDWARD LYLE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: PRAIRIE LAKES HEALTH CARE SYSTEM
401 9TH AVENUE NW
WATERTOWN SD 57201-621

Address last updated on 6/26/2012
Phone #: (605) 882-7750
Fax #:
County: NOT OKLAHOMA
License: 13129
Dated: 7/1/1981
Expires: 7/1/2013
License Type: Medical Doctor
Specialty: Anatomic Pathology
Clinical Pathology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sanford Sch of Med of the Univ of SD, Vermillion, SD
Graduated: 5 / 1980
CME Year: 2015
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
PRAIRIE LAKES HEALTH CARE SYSTEM
401 9TH AVENUE NW
WATERTOWN SD 57201-621

Phone #: (605) 882-7750
Fax #:

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