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Individual

JOZEF S MRUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9370
(316) 689-9363
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
26205
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
058674
BCBS
KS
05
100185550C
KS
01
12149464
MULTIPLAN
KS
01
12961
PHS
KS
01
17015
COVENTRY
KS
01
202931
HPK
KS
Enumeration date
06/18/2006
Last updated
07/09/2012
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