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Oklahoma Board of Medical Licensure and Supervision

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MIKESKA, CLAUDIA RENATE       
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: OKLAHOMA CITY CLINIC
701 NE 10TH STREET
OKLAHOMA CITY OK 73104-5400

Address last updated on 9/23/2003
Phone #: (405) 280-5433
Fax #: (405) 280-5580
County: OKLAHOMA
License: 23413
Dated: 7/17/2003
Expires: 7/1/2005
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 / 2000
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
BlueLincs HMO
Hospital Privileges: Integrated Specialty Hospital-Edmond
Edmond, OK
Mercy Hospital OKC
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA CITY CLINIC
701 NE 10TH STREET
OKLAHOMA CITY OK 73104-5400

Phone #: (405) 280-5433
Fax #: (405) 280-5580
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 1:30AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM

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