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Individual

ALISA L SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204
Mailing address
3515 W CENTRAL AVE, WICHITA, KS 67203-4921
(316) 755-0144
(844) 274-1204

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36789
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-36789
KANSAS LICENSE
KS
05
201110460B
KS
Enumeration date
04/30/2012
Last updated
06/13/2023
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