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NPI Code Detail

MEDICARE: JAMES BRYAN WOHLWEND MD

MEDICARE:   JAMES BRYAN WOHLWEND  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
1208000000XPediatrics Physician04-31262KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720051220
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES BRYAN WOHLWEND MD
Provider Business Mailing Address
First Line : 9405 N. OAK TRAFFICWAY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155
Country : US
Telephone Number : 816-412-2900
Fax Number : 816-412-2915
Provider Business Practice Location Address
First Line : 9405 N. OAK TRAFFICWAY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155
Country : US
Telephone Number : 816-412-2900
Fax Number : 816-412-2915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 01/05/2016

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Directions to “ JAMES BRYAN WOHLWEND MD” Practice Location

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