WISMANN, ANDREA ELAINE - Licensee Information

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

WISMANN, ANDREA ELAINE

Practice Address:	OKLAHOMA CITY VA MEDICAL CENTER 921 NORTHEAST 13TH STREET COMMUNITY LIVING CENTER OKLAHOMA CITY OK 73104-5007 Address last updated on 2/14/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	39061
Dated:	3/28/2022
Expires:	3/1/2025
License Type:	Medical Doctor
Specialty:	Geriatric Medicine (Family Practice) Family Medicine GERIATRICS

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Colorado Sch Of Med (frmly in Denver)
Graduated:	5 / 2009
CME Year:	2025

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 AMERICAN BOARD OF FAMILY MEDICINE - Geriatric Medicine
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK V.A. Medical Center-OKC Oklahoma City, OK

Locations:	Hours:	Languages:
OKLAHOMA CITY VA MEDICAL CENTER 921 NORTHEAST 13TH STREET COMMUNITY LIVING CENTER OKLAHOMA CITY OK 73104-5007 Phone #: Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
DENISE KENDALL	APRN	137617