Individual
BRUCE LYNN TJADEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9300 E 29TH ST N, STE 102, WICHITA, KS 67226-2182
(316) 687-2112
(316) 687-1260
Mailing address
9300 E 29TH ST N, STE 102, WICHITA, KS 67226-2182
(316) 687-2112
(316) 687-1260
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
05-24641
KS
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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