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BIERBAUM, WALTER FREDERICK III
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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.
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| Practice Address: |
DEACONESS HOSPITAL
5501 N. PORTLAND
OKLAHOMA CITY OK 73112
Address last updated on 7/12/2013 |
| Phone #: |
(405) 604-4932 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
22900 |
| Dated: |
7/1/2003 |
| Expires: |
7/1/2014 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology
Cytopathology
PATHOLOGY, CHEMICAL |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
| Graduated: |
5 /
2001 |
| CME Year: |
2016 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PATHOLOGY - Cytopathology
AMERICAN BOARD OF PATHOLOGY (Anatomic/Clinical) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
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