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Organization
MID AMERICA HEALTH, PA
Active
Organization
MID AMERICA HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER RICHARD CARLSON MD (PRESIDENT)
(706) 373-8095
Entity
Organization
Contact information
Practice address
5450 SW FAIRLAWN RD, TOPEKA, KS 66610-9420
(706) 373-8095
Mailing address
5450 SW FAIRLAWN RD, TOPEKA, KS 66610-9420
(706) 373-8095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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