Individual
GARY SINNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 UTAH ST, HIAWATHA, KS 66434-2314
(785) 742-2131
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-17078
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046430
BLUE CROSS OF KS
KS
05
—
100158580A
—
KS
01
—
3877
BLUE CROSS OF NE
NE
01
—
481079191
TRICARE
KS
Enumeration date
07/13/2006
Last updated
04/29/2008
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