Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
GRUDEM, JON MARK
|
|
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: |
NEURALWATCH
812 AVIS DR
ANN ARBOR MI 48108
Address last updated on 2/22/2016 |
| Phone #: |
(734) 213-3920 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
29681 |
| Dated: |
4/1/2013 |
| Expires: |
4/1/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurology
Clinical Neurophysiology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of ND Sch Of Med and Hlth Sci, Grand Forks Nd 58201 |
| Graduated: |
5 /
2004 |
| CME Year: |
2019 |
|
|
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 PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
