DAVID WAYNE NIEDEREE

DERBY, KS
NPI1306855069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  04-20172)
Additional Taxonomies207QS0010X Family Medicine, Sports Medicine
(Licence: KS  04-20172)
Enumeration Date2006-08-05
Last Update Date2007-10-25
Business Address
-- DAVID WAYNE NIEDEREE M.D.
1101 N ROCK RD
DERBY, KS 67037-3735
Phone number: 316-788-6963
Mailing Address
-- DAVID WAYNE NIEDEREE M.D.
1101 N ROCK RD
DERBY, KS 67037-3735
Phone number: 316-788-6963