Individual
SHANE E. THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 N 19TH ST, MARYSVILLE, KS 66508-1358
(785) 562-2303
(785) 562-2304
Mailing address
708 N 18TH ST, MARYSVILLE, KS 66508-1338
(785) 562-2311
(785) 562-2348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-35199
KS
Other
Enumeration date
05/26/2010
Last updated
06/27/2024
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