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NPI Code Detail

MEDICARE: TERI L TURKLE-HUSLIG M.D.

MEDICARE: TERI L TURKLE-HUSLIG M.D.
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 Physician04-26839KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051542OTHERKSBLUE SHIELD

General Provider Information

NPI Number : 1891796231
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI L TURKLE-HUSLIG M.D.
Provider Business Mailing Address
First Line : 1309 POLK ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3618
Country : US
Telephone Number : 620-792-5341
Fax Number : 620-792-3702
Provider Business Practice Location Address
First Line : 1309 POLK ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-3618
Country : US
Telephone Number : 620-792-5341
Fax Number : 620-792-3702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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