Individual
JASON T TAUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9350 E 35TH ST N, STE 101, WICHITA, KS 67226-2019
(316) 265-1308
(316) 712-9286
Mailing address
9350 E 35TH ST N, STE 101, WICHITA, KS 67226-2019
(316) 265-1308
(316) 712-9286
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0430398
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00278856
RAILROAD MEDICARE
—
Enumeration date
04/10/2006
Last updated
10/19/2007
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