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WISEMAN, CARL DOUGLAS       
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: PRAGUE RURAL HEALTH CLINIC
1322 A AVENUE
PRAGUE OK 74864

Address last updated on 12/23/1999
Phone #:
Fax #:
County: LINCOLN
License: 7630
Dated: 7/13/1961
Expires: 7/1/2000
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: / 1960
CME Year: 2000
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PRAGUE RURAL HEALTH CLINIC
1322 A AVENUE
PRAGUE OK 74864

Phone #:
Fax #:

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