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MIKESKA, BRETT WAYNE       
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: 920 S L YOUNG BLVD
WP2250
OKLAHOMA CITY OK 73104

Address last updated on 10/23/2003
Phone #: (405) 271-6842
Fax #:
County: OKLAHOMA
License: 23256
Dated: 3/4/2003
Expires: 3/1/2005
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 6 / 1999
CME Year: 2006
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:
920 S L YOUNG BLVD
WP2250
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6842
Fax #:

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