Organization
CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FIELEKE (CREDENTIALING MANAGER)
(816) 287-1528
Entity
Organization
Contact information
Practice address
601 NW OBRIEN RD, LEES SUMMIT, MO 64063-1806
(816) 287-1528
Mailing address
601 NW OBRIEN RD, LEES SUMMIT, MO 64063-1806
(816) 287-1528
(343) 503-0640
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
09/27/2024
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