Individual
DR. SUSAN JANENE BREWER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 N AMIDON AVE, SUITE 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 660-7715
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-24657
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057967
BLUE CROSS BLUE SHIELD
KS
01
—
2016173
CIGNA
KS
01
—
4715
PREFERRED HEALTH SYSTEMS
KS
01
—
PV68887
AMERICAN PSYCH SYSTEMS
KS
Enumeration date
06/05/2006
Last updated
07/08/2007
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