WOLRAICH, MARK LEE - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

WOLRAICH, MARK LEE

Practice Address:	1100 NE 13TH STREET OU CHILD STUDY CENTER OKLAHOMA CITY OK 73117-1099 Address last updated on 6/14/2019
Phone #:	(405) 761-1681 x45124
Fax #:	(405) 271-2510
County:	OKLAHOMA
License:	22350
Dated:	7/10/2001
Expires:	1/30/2021
License Type:	Medical Doctor
Specialty:	Developmental-Behavioral Pediatrics Pediatrics

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	SUNY Upstate Med Univ, Syracuse, NY 13210
Graduated:	6 / 1970
CME Year:	2022

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 PEDIATRICS AMERICAN BOARD OF PEDIATRICS - Developmental-Behavioral Pediatrics
New Patients:	Yes
Medicaid:	Yes
Medicare:	No

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO BlueLincs HMO CommunityCare HMO, Inc HealthChoice PacifiCare of Oklahoma, Inc Preferred Community Choice Prime Advantage Health Plan Prudential Health Care Plan, Inc United Healthcare HMO United Healthcare Options PPO Welcor/Sooner
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
1100 NE 13TH STREET OU CHILD STUDY CENTER OKLAHOMA CITY OK 73117-1099 Phone #: (405) 761-1681 x45124 Fax #: (405) 271-2510	Mon: Tue: Wed: Thu: Fri: Sat: Sun: