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Individual

DEAN I YOUNGBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1035 N EMPORIA ST, SUITE 220, WICHITA, KS 67214-2944
(316) 268-6075
(316) 291-7977
Mailing address
1035 N EMPORIA ST, SUITE 220, WICHITA, KS 67214-2944
(316) 268-6075
(316) 291-7977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15539
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100092960A
KS
Enumeration date
10/27/2005
Last updated
02/14/2014
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