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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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KRODEL, JOHN MICHAEL       
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: MERCY CLINIC
950 NORTH PORTER
SUITE 300
NORMAN OK 73071

Address last updated on 6/13/2024
Phone #: (405) 329-0121
Fax #: (405) 292-6099
County: CLEVELAND
License: 18046
Dated: 7/1/1992
Expires: 7/1/2025
Training Issued: 6/27/1991
Training Expires: 6/30/1992
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1991
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
MERCY CLINIC
950 NORTH PORTER
SUITE 300
NORMAN OK 73071

Phone #: (405) 329-0121
Fax #: (405) 292-6099
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 12:00PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PETER WENDELIN KEUPEN PA 748
AVIS JEWEL LUCAS PA 618
LARA SHIRK APRN 103493
EMMA NICOLE WELCH PA 4496

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