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NPI Code Detail

MEDICARE: TODD ASPEGREN MD

MEDICARE: TODD ASPEGREN 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
1207P00000XEmergency Medicine Physician22328KS

General Provider Information

NPI Number : 1255313300
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD ASPEGREN MD
Provider Business Mailing Address
First Line : 1405 KRUG CIR
Second Line :
City : WICHITA
State : KS
Zip : 67230-1706
Country : US
Telephone Number : 316-733-5352
Fax Number :
Provider Business Practice Location Address
First Line : 1405 KRUG CIR
Second Line :
City : WICHITA
State : KS
Zip : 67230-1706
Country : US
Telephone Number : 316-733-5352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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Directions to “ TODD ASPEGREN MD” Practice Location

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