Organization
MIDWESTERN ENDOCRINOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J GREEN M.D. (PHYSICIAN)
(913) 451-9888
Entity
Organization
Contact information
Practice address
5401 COLLEGE BLVD, STE 110, OVERLAND PARK, KS 66211-1923
(913) 451-9888
(913) 451-2651
Mailing address
5401 COLLEGE BLVD, STE 110, OVERLAND PARK, KS 66211-1923
(913) 451-9888
(913) 451-2651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
497142
BLUE CROSS BLUE SHIELD
KS
01
—
CS4205
RALROAD MEDICARE
KS
Enumeration date
01/05/2007
Last updated
05/10/2011
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