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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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NELSON, MICHAEL TIMOTHY       
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: 1919 S WHEELING AVE SUITE 600
OU HEALTH DEPARTMENT OF SURGERY
TULSA OK 74104

Address last updated on 10/7/2024
Phone #: (918) 660-3466
Fax #:
County: TULSA
License: 37276
Dated: 11/1/2020
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: D Geffen Sch of Med-UCLA, Los Angeles CA 90095
Graduated: 5 / 1988
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1919 S WHEELING AVE SUITE 600
OU HEALTH DEPARTMENT OF SURGERY
TULSA OK 74104

Phone #: (918) 660-3466
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALEXIA JOY CLARK PA 4668

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