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BROOKS, MICHAEL DEVITO       
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: METRO MEDICAL GROUP
4401 CONNER
DETROIT MI 48215
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 13685
Dated: 5/25/1982
Expires: 6/30/1994
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 6 / 1978
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
6/9/1989 License Reinstated
9/11/1987 Revoked License
Board Filings and/or Orders:
06/09/1989
09/11/1987
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
METRO MEDICAL GROUP
4401 CONNER
DETROIT MI 48215

Phone #:
Fax #:

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