| Dtg Ii Pllc | |
|
5025 E Kellogg Dr Ste 100 Wichita KS 67218-1504 | |
| (800) 268-7713 | |
| (415) 704-3294 |
| Full Name | Dtg Ii Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5025 E Kellogg Dr Ste 100, Wichita, Kansas |
| Authorized Official Name and Position | John M Bernard (PRESIDENT) |
| Authorized Official Contact | 8002687713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtg Ii Pllc 811 E Kent Rd Greenville MI 48838-9791 Ph: (800) 268-7713 | Dtg Ii Pllc 5025 E Kellogg Dr Ste 100 Wichita KS 67218-1504 Ph: (800) 268-7713 |
| NPI Number | 1861172157 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861172157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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