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Last Update: Monday, April 29, 2024 9:10 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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NEISEN, JOHN MICHAEL
Practice Address: SAINT FRANCES TRAUMA INSTITUTE
6161 S YALE AVE
TULSA OK 74136

Address last updated on 3/4/2024
Phone #: (918) 494-1805
Fax #:
County: TULSA
License: 4613
Dated: 7/14/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 6/22/2021
Temp. Ltr. Expires: 7/29/2021
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:
SAINT FRANCES TRAUMA INSTITUTE
6161 S YALE AVE
TULSA OK 74136

Phone #: (918) 494-1805
Fax #:

Hospital Privileges:

St. Francis Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KEITH EDWARDS CHAMPLIN MD 39882
ROBERT BROCK GOODWIN DO 4905
NATHAN POWELL DO 5171
JOHN MARC SHELLENBERGER MD 34961
DEBRA LYNNE VAN ZANDT MD 28577

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