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DORHEIM, TRACY ALAN       
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: UNIVERSITY OF WISCONSIN
MADISON WI 53562
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16650
Dated: 9/6/1988
Expires: 9/1/1996
Training Issued: 8/31/1987
Training Expires: 9/30/1988
License Type: Medical Doctor
Specialty: SURGERY, CARDIOVASCULAR
SURGERY, THORACIC
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 1987
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF WISCONSIN
MADISON WI 53562

Phone #:
Fax #:

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