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1073514733
MARTHA SUE FANNING
OVERLAND PARK, KS
NPI
1073514733
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Former Name
MARTHA SUE PACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KS 04-26640)
Enumeration Date
2005-08-03
Last Update Date
2021-06-29
Business Address
Dr. MARTHA SUE FANNING M.D.
12300 METCALF AVE
OVERLAND PARK, KS 66213-1324
Phone number: 913-317-7485
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Mailing Address
Dr. MARTHA SUE FANNING M.D.
PO BOX 411039
KANSAS CITY, MO 64141-1039
Phone number: 913-234-1350
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