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WOLFGRAM, DANNY ALLAN       
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: PREVEA CLINIC
760 PILGRIM WAY
PO BOX 19070
GREEN BAY WI 54307-9070
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 19218
Dated: 10/24/1994
Expires: 10/1/1997
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Orthopedic Surgery)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: 6 / 1990
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PREVEA CLINIC
760 PILGRIM WAY
PO BOX 19070
GREEN BAY WI 54307-9070

Phone #:
Fax #:

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