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Next Update: Saturday, May 4, 2024 2:50 AM CDT
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WAGNER, MICHEL RANDOLPH PETER
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Practice Address: |
COMANCHE COUNTY MEMORIAL HOSPITAL
3401 W GORE BLVD
LAWTON OK 73505
Address last updated on 10/25/2023 |
Phone #: |
(580) 355-8620 |
Fax #: |
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County: |
COMANCHE |
License: |
35280 |
Dated: |
11/1/2019 |
Expires: |
11/1/2024 |
Temp.
Lic.
Issued:
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10/17/2019 |
Temp.
Lic.
Expires:
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1/16/2020 |
License Type: |
Medical Doctor |
Specialty: |
General Surgery
Surgical Critical Care (Surgery) |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Cath De Louvain, Bruxelles, Belgium |
Graduated: |
6 /
1992 |
CME Year: |
2025 |
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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: |
AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF SURGERY - Surgical Critical Care |
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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