Individual
WOLF JURGEN BLASER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
(316) 293-2665
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
94-11779
KS
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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