Organization
PRIMARY MEDICAL ASSOCIATES CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SHUCK D.O. (PRESIDENT)
(316) 722-0103
Entity
Organization
Contact information
Practice address
7348 W 21ST ST N, SUITE 121, WICHITA, KS 67205-1793
(316) 722-0103
(316) 722-2333
Mailing address
7348 W 21ST ST N, SUITE 121, WICHITA, KS 67205-1793
(316) 722-0103
(316) 722-2333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-24235
KS
Other
Enumeration date
04/26/2010
Last updated
08/18/2015
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