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Individual

DR. MANUEL BROCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
345 N RIVERVIEW ST STE 500, WICHITA, KS 67203-4265
(316) 616-1055
(855) 633-0585
Mailing address
345 N RIVERVIEW ST STE 412, WICHITA, KS 67203-4202
(551) 295-8223
(855) 633-0585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-46674
KS
207R00000X
Internal Medicine Physician
Primary
40229
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2021026162
MO

Other

Enumeration date
04/24/2018
Last updated
09/13/2025
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