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Individual

DR. MICHAEL ANTHONY SPIESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D,C,

Contact information

Practice address
15203 W 87TH STREET PKWY, LENEXA, KS 66219-1409
(913) 648-7246
(913) 599-1548
Mailing address
15203 W 87TH STREET PKWY, LENEXA, KS 66219-1409
(913) 648-7246
(913) 599-1548

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-04909
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203314
BC/BS OF KANSAS
KS
01
34943017
BC/BS
01
34971012
BC/BS
01
7746743
AETNA
01
S08000
MEDICARE PTAN
KS
Enumeration date
11/30/2007
Last updated
09/06/2008
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