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Individual

MICCA SCHNEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 860-0619
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
(620) 860-0619

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-09529
KS

Other

Enumeration date
06/11/2018
Last updated
07/28/2022
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