Individual
MCKAYLA ANN WIECZOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 293-2699
Mailing address
WCGME, 1010 N KANSAS ST, WICHITA, KS 67214
(316) 293-2699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL18519
ND
Other
Enumeration date
06/13/2022
Last updated
07/05/2023
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