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Individual

MARY ANN BAUERSFIELD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3243 E MURDOCK ST, LEVEL A, WICHITA, KS 67208-3052
(316) 962-3110
(316) 962-3132
Mailing address
PO BOX 47530, WICHITA, KS 67201-7530
(316) 962-3150
(316) 962-7334

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00133
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042899
BCS OF KANSAS
KS
01
669440
FIRSTGUARD
KS
Enumeration date
05/25/2006
Last updated
07/08/2007
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