Organization
RESTORE MEDICAL GROUP MIDWEST LLC
Active
Other names
Restore First Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAGES (OPERATIONS MANAGER)
(316) 558-7497
Entity
Organization
Contact information
Practice address
12021 E 13TH ST N STE 119, WICHITA, KS 67206-2843
(316) 330-5353
(316) 330-5889
Mailing address
12021 E 13TH ST N STE 119, WICHITA, KS 67206-2843
(316) 330-5353
(316) 330-5889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
08/11/2024
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