Individual
MARK D. LAUDENSCHLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
Mailing address
PO BOX 522, WICHITA, KS 67201-0522
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
29787
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0439527
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME121097
FL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
53935
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012930500
—
FL
Enumeration date
08/13/2007
Last updated
11/25/2016
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