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Oklahoma Board of Medical Licensure and Supervision

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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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BACHARACH, MARIANNE INGELS       
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: OKLAHOMA CITY INDIAN CLINIC
309 S. ANN ARBOR AVE
OKLAHOMA CITY OK 73128

Address last updated on 8/15/2024
Phone #: (405) 948-4900
Fax #:
County: OKLAHOMA
License: 21693
Dated: 7/18/2000
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Unspecified
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: 5 / 1994
CME Year: 2027
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA CITY INDIAN CLINIC
309 S. ANN ARBOR AVE
OKLAHOMA CITY OK 73128

Phone #: (405) 948-4900
Fax #:
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Oklahoma Wound Center Norman Regional Health System
3500 Healthplex Pkwy
Suite 102
Norman, OK 73072

Phone #: (405) 307-6955
Fax #: (2) 201-
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Wound Center at SSM Health St. Anthony Hospital
1000 N. Lee Ave
Oklahoma City, OK 73102

Phone #: (405) 272-4200
Fax #: (5) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN MEGHAN BARRETT PA 2829
HOAI TIEN NGUYEN PA 2722

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