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NPI Code Detail

MEDICARE: STELIAN N. ANDRECA M.D.

MEDICARE: STELIAN N. ANDRECA 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 Physician0430907KS

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 : 1942236500
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELIAN N. ANDRECA M.D.
Provider Business Mailing Address
First Line : PO BOX 110
Second Line :
City : OBERLIN
State : KS
Zip : 67749-0110
Country : US
Telephone Number : 785-475-2221
Fax Number : 785-475-3847
Provider Business Practice Location Address
First Line : 902 W COLUMBIA ST
Second Line :
City : OBERLIN
State : KS
Zip : 67749-2412
Country : US
Telephone Number : 785-475-2221
Fax Number : 785-475-3847
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 11/27/2007

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