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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 2:28 PM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT

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PETERSON, WENDY KAY
Practice Address: FUSION MD
5472 MAIN STREET STE 101
DEL CITY OK 73115

Address last updated on 3/28/2024
Phone #: (405) 622-3699
Fax #:
County: OKLAHOMA
License: 2991
Dated: 11/8/2018
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
FUSION MD
5472 MAIN STREET STE 101
DEL CITY OK 73115

Phone #: (405) 622-3699
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEVEN ALAN CRAWFORD MD 13640
AUDRALAN GAYLE FOX MD 25086
KALYANAKRISHNAN RAMAKRISHNAN MD 18709
KATHRYN ELIZABETH HULL REILLY MD 15679
ROBERT CORRALES SALINAS MD 20174
ELIZABETH ALICE WICKERSHAM MD 20273
PETER ARKELL SCOTT WINN MD 14969

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