Organization
WESTSIDE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREASURE A. WEHNER D.O. (PHYSICIAN)
(620) 221-3350
Entity
Organization
Contact information
Practice address
221 W 8TH AVE, WINFIELD, KS 67156-2718
(620) 221-3350
Mailing address
PO BOX 643, WINFIELD, KS 67156-0643
(620) 221-3350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213690A
—
KS
Enumeration date
04/25/2006
Last updated
10/14/2010
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