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Individual

DR. BROOKE B GRIZZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-7089
(316) 268-8098
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-31697
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003719128
MEDICARE
05
200399920C
KS
Enumeration date
08/11/2006
Last updated
02/15/2016
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