Individual
DR. JOSEPH B PETELIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 W 74TH ST, SUITE 255, SHAWNEE MISSION, KS 66204-2236
(913) 432-5420
(913) 432-7749
Mailing address
9119 W 74TH ST, SUITE 255, SHAWNEE MISSION, KS 66204-2236
(913) 432-5420
(913) 432-7749
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4-17417
KS
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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