Individual
SUSAN WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-00640
KS
Other
Enumeration date
03/24/2006
Last updated
07/18/2007
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