Individual
DR. DOUGLAS ALLEN MATHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5900 NIEMAN RD, SUITE 300, SHAWNEE, KS 66203-2936
(913) 631-7900
(913) 268-0908
Mailing address
5900 NIEMAN RD, SUITE 300, SHAWNEE, KS 66203-2936
(913) 631-7900
(913) 268-0908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103764
KS
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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