Individual
DR. JOEL E. WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 242-4575
(785) 229-3335
Mailing address
PO BOX 460, OTTAWA, KS 66067-0460
(785) 229-3367
(785) 229-8461
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0433800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200611240A
—
KS
Enumeration date
10/14/2006
Last updated
06/07/2012
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