Individual
MARCUS BURGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 S BELMONT ST, WICHITA, KS 67218-1306
(316) 210-2895
Mailing address
332 S BELMONT ST, WICHITA, KS 67218-1306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3664
KS
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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