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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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MIELKE, CARY HERBERT
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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.
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| Practice Address: |
3100 SAMFORD AVENUE
SHREVEPORT LA 71103-4239
Address last updated on 9/25/2024 |
| Phone #: |
(612) 598-7643 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
34306 |
| Dated: |
11/28/2018 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatric Orthopedics
Orthopedic Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF MN MED SCH, MINNEAPOLIS MN 55455 |
| Graduated: |
6 /
1987 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF ORTHOPAEDIC SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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