MEYER, BRUCE LEONARD - Licensee Information

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Next Update: Thursday, December 19, 2024 12:00 PM CST

MEYER, BRUCE LEONARD

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:	PARK NICOLLET CLINIC 3800 PARK NICOLLET BLVD ST. LOUIS PARK MN 55416 Address last updated on 9/4/2001
Phone #:	(952) 993-3307
Fax #:
County:	NOT OKLAHOMA
License:	18480
Dated:	7/1/1993
Expires:	7/1/2006
Training Issued:	6/18/1992
Training Expires:	6/30/1993
License Type:	Medical Doctor
Specialty:	Psychiatry

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 1992
CME Year:	2006

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:
PARK NICOLLET CLINIC 3800 PARK NICOLLET BLVD ST. LOUIS PARK MN 55416 Phone #: (952) 993-3307 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
TERRI SAMPLE	APRN	62732

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