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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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BOHNSTEDT, SUSAN NHI       
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: SSM HEALTHPLEX NORTH
13401 N WESTERN AVE
SUITE 200
OKLAHOMA CITY OK 73114

Address last updated on 2/20/2024
Phone #: (405) 252-3450
Fax #: (405) 252-3499
County: OKLAHOMA
License: 1525
Dated: 4/26/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 1/26/2006
Temp. Ltr. Expires: 5/13/2006
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
SSM HEALTHPLEX NORTH
13401 N WESTERN AVE
SUITE 200
OKLAHOMA CITY OK 73114

Phone #: (405) 252-3450
Fax #: (405) 252-3499

Hospital Privileges:

Creek Nation Community Hospital
Okemah, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ADAM D. GARDNER MD 30575

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