Individual
DR. PAUL J WILLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7130 W MAPLE ST STE 200, WICHITA, KS 67209-2101
(316) 944-2020
(316) 944-3535
Mailing address
7130 W MAPLE ST STE 200, WICHITA, KS 67209-2101
(316) 944-2020
(316) 944-3535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1-04601
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059947
OTHER
KS
01
—
062076
BLUE CROSS
KS
Enumeration date
08/31/2006
Last updated
10/31/2007
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