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WAGENMAN, BENJAMIN LEE
Practice Address: OUHSC DEPT OF PATHOLOGY
940 STANTON L. YOUNG BLVD BMSB 451
OKLAHOMA CITY OK 73104

Address last updated on 6/18/2010
Phone #: (405) 271-2422
Fax #: (405) 271-4020
County: OKLAHOMA
License: 27070
Dated: 7/1/2009
Expires: 7/1/2011
Temp. Lic. Issued: 6/5/2009
Temp. Lic. Expires: 7/24/2009
License Type: Medical Doctor
Specialty: Clinical Pathology
Blood Banking/Transfusion Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduated: 5 / 2005
CME Year: 2012
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OUHSC DEPT OF PATHOLOGY
940 STANTON L. YOUNG BLVD BMSB 451
OKLAHOMA CITY OK 73104

Phone #: (405) 271-2422
Fax #: (405) 271-4020
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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