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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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ELLIOTT, MICHAEL STEPHEN
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Practice Address: |
MERCY CLINIC EDMOND WATERLOO
301 EAST WATERLOO ROAD
EDMOND OK 73034
Address last updated on 6/13/2022 |
Phone #: |
(405) 715-2000 |
Fax #: |
(405) 715-2010 |
County: |
OKLAHOMA |
License: |
19806 |
Dated: |
7/11/1996 |
Expires: |
7/1/2025 |
Training
Issued:
|
7/6/1995 |
Training
Expires:
|
8/1/1996 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine/Pediatrics |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
6 /
1995 |
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: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital OKC
Oklahoma City, OK
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Primary Supervisees(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
KYLE NATHAN LIPKE
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PA |
1667 |
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