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NPI Code Detail

MEDICARE: ANNETTE K ANWANDER MD

MEDICARE: ANNETTE K ANWANDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician04-49243KS

General Provider Information

NPI Number : 1346878493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE K ANWANDER MD
Provider Business Mailing Address
First Line : 300 UTAH ST
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-2326
Country : US
Telephone Number : 857-742-2161
Fax Number : 816-404-7756
Provider Business Practice Location Address
First Line : 300 UTAH ST
Second Line :
City : HIAWATHA
State : KS
Zip : 66434-2326
Country : US
Telephone Number : 785-742-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 07/25/2025

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