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Ansell, Dominique Renee

CPSO#: 100182

MEMBER STATUS

Active Member as of 01 Jul 2013

CURRENT OR PAST CPSO REGISTRATION CLASS

Independent Practice as of 25 Jun 2015

Summary

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Former Name: No Former Name

Gender: Female

Languages Spoken: English, French

Education: University of Ottawa, 2013

Practice Information

Primary Location of Practice

Health Sciences North Hospital
41 Ramsey Lake Road
Sudbury ON P3E 5J1
Phone: (705) 675-4790 Electoral District: 08

Additional Practice Location(s)

525 Causley St., P.O. Box 970
Blind River ON P0R1B0
Canada
Phone: (705) 356-2265
County: Territorial District of Algoma
Electoral District: 08

200 Larch Street
Sudbury ON P3E 1C5
Canada
Phone: (705) 673-3721
Fax: (705) 805-3660
County: Terr.District/Regional Municipality of Sudbury
Electoral District: 08

Professional Corporation Information

Corporation Name: Dr. Dominique R. Ansell Medicine Professional Corporation
Certificate of Authorization Status: Issued Date: May 24 2016

Shareholders:
Dr. D. Ansell ( CPSO# 100182)

Business Address:
525 Causley Street
P O Box 970
Blind River ON P0R 1B0

Business Address:
Health Sciences North Hospital
41 Ramsey Lake Road
Sudbury ON P3E 5J1
Phone Number: (705) 523-7100

Hospital Privileges

Hospital	Location
Health Sciences North	Sudbury
North Shore Health Network	Blind River

Specialties

Specialty	Issued On	Type
Family Medicine	Effective:22 Jun 2015	CFPC Specialist
Family Medicine (Emergency Medicine)	Effective:25 Oct 2016	CFPC Specialist

Terms and Conditions

(1) Dr. DOMINIQUE RENEE ANSELL may practise only in the areas of medicine in which Dr. ANSELL is educated and experienced.

Postgraduate Training

Please note: This information may not be a complete record of postgraduate training.

University of Ottawa, 01 Jul 2013 to 30 Jun 2014
PostGrad Yr 1 - Family Medicine

University of Ottawa, 01 Jul 2014 to 30 Jun 2015
PostGrad Yr 2 - Family Medicine

Northern Ontario School of Medicine, 01 Jul 2015 to 30 Jun 2016
PostGrad Yr 3 - Family Medicine (Emergency Medicine)

Registration History

Action	Issue Date
First certificate of registration issued: Postgraduate Education Certificate	Effective: 01 Jul 2013
Transfer of class of registration to: Independent Practice Certificate	Effective: 25 Jun 2015