Organization
MERCY MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M. GIOVANNI D.O. (PRESIDENT)
(316) 462-6200
Entity
Organization
Contact information
Practice address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Mailing address
3730 N RIDGE RD, SUITE 100, WICHITA, KS 67205-1227
(316) 462-6200
(316) 462-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25302
KS
Other
Enumeration date
06/30/2006
Last updated
11/20/2013
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