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Individual

DR. JOHN ANTHONY WOLTJEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6325 KENNETT PL, MISSION, KS 66202-4281
(816) 590-9007
Mailing address
6325 KENNETT PL, MISSION, KS 66202-4281
(816) 590-9007

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2018004808
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201526027
MO
Enumeration date
09/09/2005
Last updated
11/07/2025
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