WONG, GRAND FU KWOK - Licensee Information

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Last Update: Sunday, May 12, 2024 6:57 PM CDT
Next Update: Monday, May 13, 2024 2:50 AM CDT

WONG, GRAND FU KWOK

Practice Address:	THE CLINIC AT HOBBY LOBBY 7301A SW 44TH SREET OKLAHOMA CITY OK 73179 Address last updated on 11/6/2023
Phone #:	(405) 357-3500
Fax #:	(405) 357-3519
County:	OKLAHOMA
License:	28190
Dated:	1/3/2011
Expires:	1/1/2025
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Tufts Univ Sch Of Med, Boston Ma 02111
Graduated:	6 / 2004
CME Year:	2026

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:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
THE CLINIC AT HOBBY LOBBY 7301A SW 44TH SREET OKLAHOMA CITY OK 73179 Phone #: (405) 357-3500 Fax #: (405) 357-3519	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
KELLY LOUISE DUREN	PA	808
JONATHAN DREW PREWITT	PA	2975