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Individual

C WILSON WESBROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9234
(316) 689-9720
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
16239
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018804
BCBS
KS
01
1001
PHS
KS
01
12149416
MULTIPLAN
KS
01
16930
COVENTRY
KS
01
200162
HPK
KS
Enumeration date
08/06/2006
Last updated
07/16/2007
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