| NPI | 1508877523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MEIER Administrator 785-295-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-09-27 |