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DETLIE, TORE       
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
11995 SINGLETREE LANE STE. 500
EDEN PRAIRIE MN 55344

Address last updated on 3/4/2015
Phone #: (952) 595-1100
Fax #:
County: NOT OKLAHOMA
License: 27614
Dated: 5/7/2010
Expires: 5/1/2015
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: 6 / 1984
CME Year: 2016
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Medical Center of Southeastern OK
Durant, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE STE. 500
EDEN PRAIRIE MN 55344

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