Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
WACKOWSKI, MICHAEL JOSEPH JR
|
|
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: |
WARREN CLINIC HOSPITALISTS
6161 S YALE AVE
TULSA OK 74136
Address last updated on 9/5/2024 |
| Phone #: |
(918) 502-1900 |
| Fax #: |
|
| County: |
TULSA |
| License: |
18451 |
| Dated: |
7/1/1993 |
| Expires: |
7/1/2025 |
|
Training
Issued:
|
6/26/1992 |
|
Training
Expires:
|
6/30/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
| Graduated: |
5 /
1992 |
| 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: |
|
| New Patients: |
No |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
Continuous Care Centers of OK
Tulsa, OK
|
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
VERONIKA GAIKWAD
|
APRN |
96813 |
|
|
Return to Search Licensees page
