Individual
MARTHA S HOUSHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
835 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-4395
(316) 685-1149
Mailing address
835 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-4395
(316) 685-1149
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
15402
KS
Other
Enumeration date
11/18/2005
Last updated
04/02/2008
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