Individual
JOHN G FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 669-2205
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1131
(620) 669-2500
(620) 669-2753
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-31786
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375390A
—
KS
Enumeration date
03/30/2006
Last updated
09/18/2023
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