Individual
NICHOLAS MATTHEW BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Mailing address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 689-5050
(316) 689-6192
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0433906
KS
2085R0204X
Vascular & Interventional Radiology Physician
Primary
04-33906
KS
Other
Enumeration date
04/19/2007
Last updated
12/20/2023
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