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WEISE, TIMOTHY JOHN
Practice Address: DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
MARICOPA MEDICAL CENTER
2601 EAST ROOSEVELT
PHOENIX AZ 85008

Address last updated on 4/19/2006
Phone #: (602) 344-5426
Fax #:
County: NOT OKLAHOMA
License: 24900
Dated: 4/19/2006
Expires: 4/1/2007
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers Robt W Johnson Med Sch, (fmly UMDNJ)
Graduated: 5 / 1998
CME Year: 2009
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: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DEPARTMENT OF FAMILY & COMMUNITY MEDICINE
MARICOPA MEDICAL CENTER
2601 EAST ROOSEVELT
PHOENIX AZ 85008

Phone #: (602) 344-5426
Fax #:

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