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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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BERGER, DANIEL JESSE
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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.
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| Practice Address: |
304 E. VISTULA STREET
BRISTOL IN 46507
Address last updated on 12/28/2022 |
| Phone #: |
(574) 848-4039 |
| Fax #: |
(574) 848-4076 |
| County: |
NOT OKLAHOMA |
| License: |
19480 |
| Dated: |
8/24/1995 |
| Expires: |
8/1/2024 |
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Training
Issued:
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6/23/1994 |
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Training
Expires:
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6/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
IN Univ Sch Of Med, Indianapolis In 46202 |
| Graduated: |
6 /
1994 |
| CME Year: |
2024 |
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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: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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