Individual
DR. STEPHEN C GRADWOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11791 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210-2761
(913) 888-3338
(913) 696-1908
Mailing address
18850 W 96TH ST, LENEXA, KS 66220-9702
(913) 768-8229
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
01-03761
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12139018
BC/BS K.C.
KS
Enumeration date
09/27/2006
Last updated
07/08/2007
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