Individual
COREY BRAET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 293-2665
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-09486
KS
Other
Enumeration date
06/06/2018
Last updated
07/26/2021
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