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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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SASSO, ADAM R       
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: 2681 NE 8TH AVE
WILTON MANORS FL 33334

Address last updated on 11/21/2024
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County: NOT OKLAHOMA
License: 37248
Dated: 9/16/2020
Expires: 9/1/2025
Temp. Lic. Issued: 8/26/2020
Temp. Lic. Expires: 11/5/2020
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: USUHS F E Hebert Sch of Med Bethesda Md 20814
Graduated: 5 / 2009
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2681 NE 8TH AVE
WILTON MANORS FL 33334

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Marsha Medical Group
15205 Traditions Lake Parkway
Edmond, OK 73013

Phone #: (631) 327-1710
Fax #: (1) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WH HARRIS APRN 10392
CHELCIE KALUZNY APRN 7406
JAN MICHELSEN APRN 2213
CARMEN NOLEN APRN 680
OLHA POLOVA APRN 1834
HEATHER SHEPPARD APRN 10580

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