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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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WACKOWSKI, REBECCA MAE
Practice Address: 7912 EAST 31ST COURT STE 200
EAST
TULSA OK 74145

Address last updated on 6/11/2023
Phone #: (918) 743-8200
Fax #:
County: OKLAHOMA
License: 18435
Dated: 7/1/1993
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 1992
CME Year: 2024
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.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
7912 EAST 31ST COURT STE 200
EAST
TULSA OK 74145

Phone #: (918) 743-8200
Fax #:
Mon:
Tue:
Wed:
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Sat:
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7912 east 31st court ste 200
tulsa, OK 74145

Phone #: (918) 743-8200
Fax #: (3) 202-
Mon:
Tue:
Wed:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RAMON RAMIREZ APRN 7159

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