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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Monday, May 6, 2024 12:00 PM CDT

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ELLNER, ANDREW LEE
Practice Address: 101 WALNUT STREET
WATERTOWN MA 02472

Address last updated on 12/11/2023
Phone #: (888) 897-1887
Fax #:
County: NOT OKLAHOMA
License: 38765
Dated: 2/22/2022
Expires: 2/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Harvard Med Sch, Boston Ma 02115
Graduated: 6 / 2004
CME Year: 2025
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
101 WALNUT STREET
WATERTOWN MA 02472

Phone #: (888) 897-1887
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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