Individual
BRETT EUGENE GRIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9350 E 35TH ST N STE 103, WICHITA, KS 67226-2022
(316) 858-5000
(316) 858-5003
Mailing address
551 N HILLSIDE ST STE 201, WICHITA, KS 67214-4923
(316) 263-0296
(316) 263-9523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0432096
KS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
04-32096
KS
Other
Enumeration date
04/20/2007
Last updated
12/30/2022
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