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Last Update: Tuesday, April 16, 2024 4:07 PM CDT
Next Update: Wednesday, April 17, 2024 2:50 AM CDT
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|
WAGNER, MICHAEL DAVID |
| Practice Address: |
835 SPRUCE STREET
SUITE B
ESPANOLA NM 87532
|
| Phone #: |
|
| Fax #: |
(405) 272-6985 |
| County: |
NOT OKLAHOMA |
| License: |
12325 |
| Dated: |
7/2/1979 |
| Expires: |
7/1/2002 |
| License Type: |
Medical Doctor |
| Specialty: |
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Internal Medicine |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of NM Sch Of Med, Albuquerque Nm 87131 |
| Graduated: |
5 /
1978 |
| CME Year: |
2003 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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