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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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GANICK, SAMANTHA JAIMEE       
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: CENTRA CARE ADULT AND PEDIATRIC UROLOGY
2351 CONNECTICUT AVE S
SARTELL MN 56377

Address last updated on 3/3/2024
Phone #: (320) 259-1411
Fax #: (320) 259-8967
County: NOT OKLAHOMA
License: 28372
Dated: 5/9/2011
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2006
CME Year: 2026
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueLincs HMO
CIGNA HMO
CommunityCare HMO, Inc
Global Health HMO
HealthChoice
Humana ChoiceCare
Medicare Blue
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Secure Horizons HMO
SoonerCare HMO
United Healthcare HMO
Hospital Privileges: Hospital Not Listed
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Locations: Hours: Languages:
CENTRA CARE ADULT AND PEDIATRIC UROLOGY
2351 CONNECTICUT AVE S
SARTELL MN 56377

Phone #: (320) 259-1411
Fax #: (320) 259-8967
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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