Individual
ANTON GALICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST STE 270, OLATHE, KS 66061-5360
(913) 780-3388
(913) 780-3256
Mailing address
20375 W 151ST ST STE 270, OLATHE, KS 66061-5360
(137) 803-3889
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0442903
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J71000068
MEDICARE
KS
Enumeration date
05/15/2006
Last updated
04/27/2020
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