Mark J Niederee MD

NPI 1063419844 - Surgery - 208600000X

NPI Details
NPI 1063419844
Gender Male
Enumeration Date 07/07/2005
Last Updated 11/30/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1515 S CLIFTON AVE
SUITE 250
WICHITA KS, 67218-2900, US
Phone (316) 686-1991
Fax (316) 686-2309
Business Location
818 N EMPORIA ST
SUITE 200
WICHITA KS, 67214-3729, US
Phone (316) 263-0296
Fax (316) 263-9523
Toxanomy
Taxonomy Code 208600000X
License State Kansas
License Number 0427729
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According to our database, Dr. Mark J Niederee MD NPI is 1063419844, taxonomy code is 208600000X and license number is 0427729, license state is located at Kansas. Mark J Niederee MD physically located at 1515 S Clifton Ave, Wichita KS, 67218-2900. NPI Number Mark J Niederee MD has the Individual type.

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1063419844 NPI number is provided on an as is basis without warranty of any kind. 1063419844 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Niederee MD are for informational purposes only.