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KISPERT, DAVID BAKER       
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: ST. PAUL RADIOLOGY PA
166 4TH STREET EAST
ST. PAUL MN 55101-1421

Address last updated on 8/13/2010
Phone #: (651) 292-2000
Fax #: (651) 292-2178
County: NOT OKLAHOMA
License: 26986
Dated: 6/23/2009
Expires: 6/1/2011
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Mayo Med Sch, Rochester Mn 55905
Graduated: 5 / 1976
CME Year: 2012
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
AMERICAN BOARD OF RADIOLOGY - Neuroradiology
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST. PAUL RADIOLOGY PA
166 4TH STREET EAST
ST. PAUL MN 55101-1421

Phone #: (651) 292-2000
Fax #: (651) 292-2178

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