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ST LOUIS, JAMES DOMENIC       
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: UNIVERSITY OF MINNESOTA AMPLATZ CHILDRENS HOSPITA
EAST BUILDING 5TH FLOOR ROOM MB544
2450 RIVERSIDE AVENUE
MINNEAPOLIS MN 55454

Address last updated on 11/29/2011
Phone #: (612) 625-7132
Fax #: (612) 626-8228
County: NOT OKLAHOMA
License: 27499
Dated: 12/11/2009
Expires: 12/1/2012
Temp. Lic. Issued: 11/20/2009
Temp. Lic. Expires: 1/15/2010
License Type: Medical Doctor
Specialty: Pediatric Cardiothoracic Surgery
General Surgery
Cardiothoracic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Georgetown Univ Sch Of Med, Washington DC 20007
Graduated: 7 / 1992
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 SURGERY
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:
UNIVERSITY OF MINNESOTA AMPLATZ CHILDRENS HOSPITA
EAST BUILDING 5TH FLOOR ROOM MB544
2450 RIVERSIDE AVENUE
MINNEAPOLIS MN 55454

Phone #: (612) 625-7132
Fax #: (612) 626-8228
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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