Individual
DOROTA J WALEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5405 W 151ST ST, LEAWOOD, KS 66224-8700
(913) 323-8830
(913) 323-8831
Mailing address
5405 W 151ST ST, LEAWOOD, KS 66224-8700
(913) 323-8830
(913) 323-8831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004027810
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-37233
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207264904
—
MO
Enumeration date
03/11/2006
Last updated
11/20/2015
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