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BULCZAK, DARIUSZ PIOTR       
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: VIRTUAL RADIOLOGIC PROFESSIONALS LLC
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344

Address last updated on 10/16/2016
Phone #: (952) 595-1100
Fax #: (612) 294-4920
County: NOT OKLAHOMA
License: 26040
Dated: 12/6/2007
Expires: 12/1/2017
Temp. Lic. Issued: 11/9/2007
Temp. Lic. Expires: 1/18/2008
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Akademia Medyczna W Gdansku, U S Curie, Gdansk, Poland
Graduated: 6 / 1993
CME Year: 2019
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 RADIOLOGY - Neuroradiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Carnegie Tri-County Municipal Hospital
Carnegie, OK
Drumright Regional Hospital
Drumright, OK
Hospital Not Listed
,
Newman Memorial Hospital
Shattuck, OK
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC PROFESSIONALS LLC
11995 SINGLETREE LANE
SUITE 500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #: (612) 294-4920
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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