Individual
GERMAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 N AMIDON AVE, STE. 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 832-1571
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7621
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0800286
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105602
PERFORMING INDIV. NUMBER
KS
Enumeration date
07/08/2006
Last updated
03/29/2017
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