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1407893910
ALEXANDER P RUSANOWSKY
WICHITA, KS
NPI
1407893910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: KS 1200341)
Additional Taxonomies
208600000X Surgery
(Licence: CO 589)
Enumeration Date
2006-06-01
Last Update Date
2008-09-29
Business Address
Dr. ALEXANDER P RUSANOWSKY
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
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Mailing Address
Dr. ALEXANDER P RUSANOWSKY
5500 E KELLOGG DR
WICHITA, KS 67218-1607
Phone number: 316-685-2221
Copy
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