Individual
ANGELA SUZANNE HOLDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-6818
Mailing address
3340 E CENTRAL AVE STE 200, WICHITA, KS 67208-3104
(316) 962-6818
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-33512
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200733930A
—
KS
Enumeration date
06/15/2007
Last updated
05/06/2019
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