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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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BIEDERMANN, SHANE OLIVER       
Practice Address: 4401 S. WESTERN AVE.
OKLAHOMA CITY OK 73109

Address last updated on 8/28/2024
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Fax #:
County: OKLAHOMA
License: 30934
Dated: 10/13/2014
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 2008
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
4401 S. WESTERN AVE.
OKLAHOMA CITY OK 73109

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Fax #:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TRESA HENSHAW APRN 96159
REBECCA GRACE PRIM PA 1690

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