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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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LANDES, MICHAEL DAVID       
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: INTEGRIS OCCUPATIONAL HEALTH
401 S 3RD ST
ENID OK 73701

Address last updated on 10/17/2024
Phone #: (580) 548-1112
Fax #: (580) 548-1538
County: GARFIELD
License: 31092
Dated: 2/10/2015
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: 6 / 1987
CME Year: 2027
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
INTEGRIS OCCUPATIONAL HEALTH
401 S 3RD ST
ENID OK 73701

Phone #: (580) 548-1112
Fax #: (580) 548-1538
Mon: 7:30AM - 4:30PM
Tue: 7:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 7:30AM - 4:30PM
Fri: 7:30AM - 4:30PM
Sat:
Sun:
401 S 3RD ST
Enid, OK 73701

Phone #: (580) 548-1112
Fax #: (2) 202-
Mon:
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121 W Maple
Enid, OK 73701

Phone #: (580) 402-8350
Fax #: (8) 202-
Mon:
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119 W Maple
Enid, OK 73701

Phone #: (580) 402-8350
Fax #: (8) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STACY LUANN ELLIS PA 1724
MICHELLE MARTINEAU APRN 100587
STEPHANIE ARLENE WHATLEY PA 1136
LINDA WOODRUFF APRN 31696

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