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Oklahoma Board of Medical Licensure and Supervision

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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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HENSLEE, EDWIN EUGENE IV       
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: 3504 WEST OKMULGEE AVE.
MUSKOGEE OK 74401

Address last updated on 1/29/2024
Phone #: (918) 686-5399
Fax #: (918) 910-4375
County: MUSKOGEE
License: 30388
Dated: 2/1/2014
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 5 / 2004
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
Locations: Hours: Languages:
3504 WEST OKMULGEE AVE.
MUSKOGEE OK 74401

Phone #: (918) 686-5399
Fax #: (918) 910-4375
Mon:
Tue:
Wed:
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3504 W Okmulgee Ave
Muskogee, OK 74401

Phone #: (918) 686-5399
Fax #: (8) 202-
Mon:
Tue:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STELLA CLOUD APRN 28913
SARAH POPLIN APRN 57692
GINA LOUISE POWERS PA 654

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