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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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WALLER, MICHAEL LEE
Practice Address: EVICORE HEALTHCARE
730 COOL SPRINGS BLVD
STE 80
FRANKLIN TN 37067

Address last updated on 9/15/2022
Phone #: (615) 468-4000
Fax #: (615) 468-4406
County: NOT OKLAHOMA
License: 40293
Dated: 9/6/2022
Expires: 9/1/2024
License Type: Medical Doctor
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EVICORE HEALTHCARE
730 COOL SPRINGS BLVD
STE 80
FRANKLIN TN 37067

Phone #: (615) 468-4000
Fax #: (615) 468-4406

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