Individual
CHASE MICHAEL MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10022 W GREENSPOINT ST, WICHITA, KS 67205-1581
(316) 250-1573
Mailing address
10022 W GREENSPOINT ST, WICHITA, KS 67205-1581
(316) 250-1573
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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