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Individual

DR. MICHAEL GEORGE IVANCIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 932-3679
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 932-3679

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0442722
KS
207L00000X
Anesthesiology Physician
Primary
2011016765
MO
207L00000X
Anesthesiology Physician
Primary
40598
AZ

Other

Enumeration date
05/03/2007
Last updated
04/15/2026
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