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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

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PETERSON, WENDY KAY       
Practice Address: FUSION MD
5472 MAIN STREET STE 101
DEL CITY OK 73115

Address last updated on 7/16/2024
Phone #: (405) 622-3699
Fax #:
County: OKLAHOMA
License: 2991
Dated: 11/8/2018
Expires: 3/31/2025
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:
FUSION MD
5472 MAIN STREET STE 101
DEL CITY OK 73115

Phone #: (405) 622-3699
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AUDRALAN GAYLE FOX MD 25086
JAMES LE DO 5402
ELIZABETH ALICE WICKERSHAM MD 20273

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