| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 114 N. Main, Canton, Kansas |
| Authorized Official Name and Position | Greg Lindholm (PA) |
| Authorized Official Contact | 6206284955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
114 N. Main P.o. Box 504 Canton KS 67428 Ph: () - | 114 N. Main Canton KS 67428 Ph: (620) 628-4955 |
| NPI Number | 1316176662 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 09/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316176662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |