MARIANO, MICHAEL ANTHONY - Licensee Information

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

MARIANO, MICHAEL ANTHONY

Practice Address:	SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA 10338 EAST 21ST TULSA OK 74129 Address last updated on 2/21/2023
Phone #:	(918) 832-7768
Fax #:
County:	TULSA
License:	129
Dated:	3/15/2023
Expires:	12/31/2024
License Type:	Licensed Prosthetist/Orthotist
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	0

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:
SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA 10338 EAST 21ST TULSA OK 74129 Phone #: (918) 832-7768 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MICHAEL O'BRIEN FENNER	LPO	13

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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