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Next Update: Sunday, April 28, 2024 2:50 AM CDT
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BASTIEN, MICHAEL ROBERT |
| Practice Address: |
2612 CUMMINGS DRIVE
OKLAHOMA CITY OK 73107
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| Phone #: |
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| Fax #: |
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| County: |
OKLAHOMA |
| License: |
17146 |
| Dated: |
12/18/1989 |
| Expires: |
6/30/1990 |
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Training
Issued:
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11/27/1989 |
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Training
Expires:
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1/13/1990 |
| License Type: |
Medical Doctor |
| Specialty: |
Dermatopathology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Keck Sch of Med of the USC, LOS ANGELES CA 90089 |
| Graduated: |
6 /
1985 |
| CME Year: |
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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: |
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| 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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