BACHARACH, MARIANNE INGELS - Licensee Information

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Last Update: Tuesday, November 5, 2024 1:51 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

BACHARACH, MARIANNE INGELS

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 #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Oklahoma Wound Center Norman Regional Health System 3500 Healthplex Pkwy Suite 102 Norman, OK 73072 Phone #: (405) 307-6955 Fax #: (2) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Wound Center at SSM Health St. Anthony Hospital 1000 N. Lee Ave Oklahoma City, OK 73102 Phone #: (405) 272-4200 Fax #: (5) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
LAUREN MEGHAN LILES	PA	2829
HOAI TIEN NGUYEN	PA	2722