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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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WACKOWSKI, MICHAEL JOSEPH JR
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Practice Address: |
WARREN CLINIC HOSPITALISTS
6161 S YALE AVE
TULSA OK 74136
Address last updated on 9/5/2024 |
Phone #: |
(918) 502-1900 |
Fax #: |
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County: |
TULSA |
License: |
18451 |
Dated: |
7/1/1993 |
Expires: |
7/1/2025 |
Training
Issued:
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6/26/1992 |
Training
Expires:
|
6/30/1993 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212 |
Graduated: |
5 /
1992 |
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: |
No |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
Continuous Care Centers of OK
Tulsa, OK
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Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
VERONIKA GAIKWAD
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APRN |
96813 |
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