Individual
DR. MICHELLE RENEE VIEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18320 S CENTER ST, GARDNER, KS 66030-9157
(913) 856-5577
(913) 856-3907
Mailing address
18320 S CENTER ST, GARDNER, KS 66030-9157
(913) 856-5577
(913) 856-3907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36743
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201077350A
—
KS
Enumeration date
02/17/2012
Last updated
09/29/2014
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