Individual
DR. ALEXANDER E FONDAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 W 110TH ST STE 110, OVERLAND PARK, KS 66211-1215
(913) 345-6960
Mailing address
2100 WYANDOTTE ST UNIT 1011, KANSAS CITY, MO 64108-2580
(316) 737-9050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0449361
KS
208600000X
Surgery Physician
2023048097
MO
Other
Enumeration date
04/16/2019
Last updated
07/22/2024
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