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Individual

DR. BRIAN HAKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7272 E 37TH ST N APT 1121, WICHITA, KS 67226-3222
(316) 636-9120
Mailing address
7272 E 37TH ST N APT 1121, WICHITA, KS 67226-3222

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-23544
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100352610A
KS
Enumeration date
01/19/2006
Last updated
02/09/2013
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