Dr Stephen C Gradwohl, DC | |
11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 | |
(913) 888-3338 | |
(913) 696-1908 |
Full Name | Dr Stephen C Gradwohl |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 39 Years |
Location | 11791 W 112th St, Overland Park, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265523179 | NPI | - | NPPES |
12139018 | Other | KS | BC/BS K.C. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 01-03761 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chiropractic Treatment Center Pa | 1759462385 | 2 |
Provider Name | Chiropractic Treatment Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417161662 PECOS PAC ID: 1759462385 Enrollment ID: O20080121000297 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen C Gradwohl, DC 18850 W 96th St, Lenexa, KS 66220-9702 Ph: (913) 768-8229 | Dr Stephen C Gradwohl, DC 11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 Ph: (913) 888-3338 |
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