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1184669947
GLEN J MISKO
WICHITA, KS
NPI
1184669947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: KS 27721)
Enumeration Date
2006-06-17
Last Update Date
2007-07-13
Business Address
GLEN J MISKO MD
1947 FOUNDERS ST
WICHITA, KS 67206-3548
Phone number: 316-689-9227
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Mailing Address
GLEN J MISKO MD
PO BOX 8035
WICHITA, KS 67208-0035
Phone number: 316-689-9135
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