Individual
MICHAEL J. BEEZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7420 SWITZER, SHAWNEE, KS 66203-4550
(913) 262-9201
(913) 262-3170
Mailing address
7420 SWITZER, SHAWNEE, KS 66203-4550
(913) 262-9201
(913) 262-3170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0415896
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100201050A
—
KS
Enumeration date
08/09/2005
Last updated
01/13/2014
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