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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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MASOLAK, DAVID DAMIAN       
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: VIGILIAS LLC DBA FREESTATE CONNECT
4723 E DOUGLAS AVE
WICHITA KS 67218-1012

Address last updated on 2/17/2024
Phone #: (316) 500-7549 x706
Fax #:
County: NOT OKLAHOMA
License: 43175
Dated: 4/25/2024
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of Med Sci in Poznan, Faculty I, Poznan, Poland
Graduated: 5 / 2020
CME Year: 2027
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VIGILIAS LLC DBA FREESTATE CONNECT
4723 E DOUGLAS AVE
WICHITA KS 67218-1012

Phone #: (316) 500-7549 x706
Fax #:

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