Individual
MAISAM AL PATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 293-1818
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 293-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-09615
KS
Other
Enumeration date
06/14/2018
Last updated
07/23/2021
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