Individual
DR. PATRICK RUSSELL BLOEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1230 E 6TH AVE, STE 1-D, WINFIELD, KS 67156-3143
(620) 221-8930
(620) 221-4060
Mailing address
1230 E 6TH AVE, STE 1-D, WINFIELD, KS 67156-3143
(620) 221-8930
(620) 221-4060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
KS0437015
KS
Other
Enumeration date
09/07/2010
Last updated
04/01/2021
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