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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MUELLER, MARK ROBERT       
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: STILLWATER MEDICAL
URGENT CARE AND OCCUPATIONAL MEDICINE
518 E LAKEVIEW RD
STILLWATER OK 74075-2825

Address last updated on 8/7/2024
Phone #: (405) 533-8990
Fax #: (405) 533-3013
County: PAYNE
License: 15532
Dated: 9/26/1985
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Occupational Medicine
Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: 5 / 1983
CME Year: 2027
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Stillwater Medical Blackwell (fmly INTEGRIS Blackwell Reg. Hosp.)
Blackwell, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
STILLWATER MEDICAL
URGENT CARE AND OCCUPATIONAL MEDICINE
518 E LAKEVIEW RD
STILLWATER OK 74075-2825

Phone #: (405) 533-8990
Fax #: (405) 533-3013
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
EMMA BURCH APRN 14415
JULIA HOPE CONNEYWERDY PA 2980
CARRIE CULVER APRN 79647
SARAH LAIRD APRN 100644
WENDY MADISON APRN 84648
SHAVONNE MARLATT APRN 7900
AUDREY JANE SANDERS PA 4789

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