Individual
MR. GERALD M KORSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
248 NE CHIPMAN RD, LEES SUMMIT, MO 64063
(816) 246-4144
(816) 246-9773
Mailing address
248 NE CHIPMAN RD, LEES SUMMIT, MO 64063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12186
MO
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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