Individual
SHELDON SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2301
(816) 524-4747
(816) 524-4929
Mailing address
3265 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2301
(816) 524-4747
(816) 524-4929
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
04-33664
KS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2009007065
MO
Other
Enumeration date
02/06/2007
Last updated
03/31/2011
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