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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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HAFNER, MICHAEL WAYNE       
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: ORTHO OKLAHOMA SPINE AND SPECIALTY CLINIC
1301 W 6TH AVE
SUITE 207
STILLWATER OK 74074

Address last updated on 3/9/2024
Phone #: (405) 707-0900
Fax #: (405) 707-0999
County: PAYNE
License: 1771
Dated: 10/17/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 9/25/2008
Temp. Ltr. Expires: 11/7/2008
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:
ORTHO OKLAHOMA SPINE AND SPECIALTY CLINIC
1301 W 6TH AVE
SUITE 207
STILLWATER OK 74074

Phone #: (405) 707-0900
Fax #: (405) 707-0999

Hospital Privileges:

Stillwater Medical Center
Stillwater, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Alex N. Detwiler DO 5730
ADAM JAMES HUSKERSON MD 29229
BRETTON HOWARD JAMESON MD 21241
MARK ALEXANDER PADEN MD 22955
SCOTT NICHOLAS STUBBS MD 20752
THOMAS GEORGE WULLER MD 20206

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