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Last Update: Thursday, December 19, 2024 1:14 PM CST
Next Update: Thursday, December 19, 2024 4:30 PM CST
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MUKANKU, NGOYI
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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.
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| Practice Address: |
18640 MACK AVENUE
BOX 36-1036
GROSSE POINTE MI 48236
Address last updated on 8/31/2024 |
| Phone #: |
(313) 205-2244 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
15001 |
| Dated: |
9/22/1984 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurological Surgery
Neurology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ D'Etat D'Haiti, Esc De Med Et De Pharmacie, Port-Au-Prince, Haiti |
| Graduated: |
8 /
1977 |
| CME Year: |
2027 |
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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: |
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| 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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