Organization
THE INTERNAL MEDICINE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN ICE (ADMINISTRATOR)
(785) 843-5160
Entity
Organization
Contact information
Practice address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700
(785) 843-5160
Mailing address
4525 W 6TH ST STE 100, LAWRENCE, KS 66049-7700
(785) 843-5160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
KS
Other
Enumeration date
06/30/2005
Last updated
08/14/2007
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