MICHAEL J SOUTHERN

GARDEN CITY, KS
NPI1265622864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KS  46076)
Enumeration Date2007-07-30
Last Update Date2015-07-21
Business Address
-- MICHAEL J SOUTHERN ARNP
302 FLEMING ST STE 4
GARDEN CITY, KS 67846-6162
Phone number: 620-805-6939
Mailing Address
-- MICHAEL J SOUTHERN ARNP
302 FLEMING ST STE 4
GARDEN CITY, KS 67846-6162
Phone number: 620-805-6939
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