MR. Thaddeus M Alexander

NPI #1114070778 in Wichita, Kansas

Provider Information

NPI Number: 1114070778
Entity Type: Individual
Name: MR. Thaddeus M Alexander
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12521 W KENNY CIR
City: Wichita
State: Kansas
ZIP Code: 67235-1956
Phone: (316) 721-5495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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