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Individual

DR. CHRISTOPHER W SIWEK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
700 W CENTRAL AVE, SUITE 110, EL DORADO, KS 67042-2184
(316) 321-5211
(316) 321-7713
Mailing address
700 W CENTRAL AVE, SUITE 110, EL DORADO, KS 67042-2184
(316) 321-5211
(316) 321-7713

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-18263
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000073
BLUE CROSS BLUE SHIELD
SC
01
613340
FIRST GUARD
SC
Enumeration date
07/19/2005
Last updated
07/08/2007
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