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WOLF, RANDALL KEVIN       
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: WOLF ATRAIL FIBRILLATION CENTER
4555 LAKE FOREST DRIVE
CINCINNATI OH 45242-3785

Address last updated on 3/9/2012
Phone #: (513) 842-8430
Fax #: (513) 221-8219
County: NOT OKLAHOMA
License: 23810
Dated: 6/17/2004
Expires: 6/1/2008
Temp. Lic. Issued: 1/29/2004
Temp. Lic. Expires: 6/25/2004
License Type: Medical Doctor
Specialty: Cardiothoracic Surgery
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 2 / 1979
CME Year: 2010
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 THORACIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WOLF ATRAIL FIBRILLATION CENTER
4555 LAKE FOREST DRIVE
CINCINNATI OH 45242-3785

Phone #: (513) 842-8430
Fax #: (513) 221-8219
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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