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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST

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RICHARDSON, MICHAEL SHANE       
Practice Address: OAK STREET HEALTH
7521 SE 15TH ST
MIDWEST CITY OK 73110

Address last updated on 3/28/2024
Phone #: (405) 453-8004
Fax #: (405) 561-4857
County: OKLAHOMA
License: 1615
Dated: 1/29/2007
Expires: 3/31/2025
Temp. Ltr. Issued: 1/19/2007
Temp. Ltr. Expires: 5/19/2007
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:
OAK STREET HEALTH
7521 SE 15TH ST
MIDWEST CITY OK 73110

Phone #: (405) 453-8004
Fax #: (405) 561-4857

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN HENNING SCHUMANN MD 28646
RHONDA AGNES SPARKS MD 19503

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