Organization
ST JUDE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R SCHULTE (SALES)
(316) 648-9961
Entity
Organization
Contact information
Practice address
1612 N ROCKY CREEK RD, WICHITA, KS 67230-1720
(316) 648-9961
(316) 733-9994
Mailing address
1612 N ROCKY CREEK RD, WICHITA, KS 67230-1720
(316) 648-9961
(316) 733-9994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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