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WIERENGA, KLAAS JAN JOHAN       
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: OU CHILDRENS PHYSICIANS BUILDING
1200 N. PHILLIPS AVE SUITE 12100
OKLAHOMA CITY OK 73104-5008

Address last updated on 4/2/2018
Phone #: (405) 271-8685 x5704
Fax #: (405) 271-8697
County: OKLAHOMA
License: 26999
Dated: 6/11/2009
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Medical Genetics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: RIJKSUNIVERSITEIT GRONINGEN, FAC DER GENEESKUNDE, GRONINGEN
Graduated: 7 / 1991
CME Year: 2021
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 MEDICAL GENETICS - Medical Biochemical Genetics
AMERICAN BOARD OF MEDICAL GENETICS (Clinical Genetics)
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU CHILDRENS PHYSICIANS BUILDING
1200 N. PHILLIPS AVE SUITE 12100
OKLAHOMA CITY OK 73104-5008

Phone #: (405) 271-8685 x5704
Fax #: (405) 271-8697
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:

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