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FERNANDEZ, MICHELLE CHRISTINE       
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: CHICKASAW NATION HEALTH SYSTEM
1921 STONECIPHER DRIVE
ADA OK 74820

Address last updated on 11/15/2021
Phone #: (580) 421-6248
Fax #:
County: PONTOTOC
License: 37348
Dated: 12/7/2020
Expires: 12/1/2022
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 2007
CME Year: 2023
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHICKASAW NATION HEALTH SYSTEM
1921 STONECIPHER DRIVE
ADA OK 74820

Phone #: (580) 421-6248
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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