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Individual

MICHAEL S. AUSMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 NE SAINT LUKES BLVD, SUITE 200, LEES SUMMIT, MO 64086-6003
(816) 347-5100
(816) 347-5136
Mailing address
901 E. 104TH ST., MAILSTOP 400N, KANSAS CITY, MO 64131-9712
(816) 502-7104
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R1E16
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208127324
MO
Enumeration date
07/17/2006
Last updated
02/22/2018
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