| NPI | 1447368105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY M HATESOHL Physician/Owner 785-632-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 21750) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |