Individual
MARTIN E SELLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 W 21ST ST, ANDOVER, KS 67002
(316) 300-4000
(316) 300-4940
Mailing address
3521 W BAYVIEW CT, WICHITA, KS 67204-2377
(316) 619-4450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-21478
KS
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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