Organization
WEST COLLEGE DERMATOLOGY & AESTHETICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE HAAG MD (OWNER)
(913) 888-3376
Entity
Organization
Contact information
Practice address
11041 HAUSER ST, LENEXA, KS 66210-3708
(913) 888-3376
(913) 888-3386
Mailing address
11041 HAUSER ST, LENEXA, KS 66210-3708
(913) 888-3376
(913) 888-3386
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-25210
KS
Other
Enumeration date
10/01/2007
Last updated
06/17/2014
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