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ADKISSON, WAYNE OWEN       
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: 6490 EXCELSIOR BLVD STE W200
ST LOUIS PARK MN 55426

Address last updated on 6/28/2001
Phone #:
Fax #: (918) 494-8516
County: NOT OKLAHOMA
License: 20181
Dated: 7/1/1997
Expires: 7/1/2002
License Type: Medical Doctor
Specialty: Internal Medicine
Other Specialty
Cardiovascular Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 6 / 1987
CME Year: 2003
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
6490 EXCELSIOR BLVD STE W200
ST LOUIS PARK MN 55426

Phone #:
Fax #: (918) 494-8516

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