Organization
RESTORE MEDICAL GROUP MIDWEST LLC
Active
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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