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HEICHEN, MICHAEL CHRISTOPHER       
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: GREAT PLAINS REGIONAL MED CENTER
THIRD & LINCOLN
ELK CITY OK

Address last updated on 8/11/2004
Phone #: (580) 821-5537
Fax #:
County: BECKHAM
License: 21846
Dated: 11/2/2000
Expires: 11/1/2003
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Central Del Caribe Sch Of Med, Bayamon Pr 00621
Graduated: 6 / 1997
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GREAT PLAINS REGIONAL MED CENTER
THIRD & LINCOLN
ELK CITY OK

Phone #: (580) 821-5537
Fax #:

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