Glutality Provider Group of Kansas, Pa.

NPI #1467042754 in Wichita, Kansas

Provider Information

NPI Number: 1467042754
Entity Type: Organization
Organization Name: Glutality Provider Group of Kansas, Pa.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 21, 2021
Last Updated: Jul 21, 2025

Practice Location

Address: 801 E DOUGLAS AVE FL 2
City: Wichita
State: Kansas
ZIP Code: 67202-3548
Phone: (561) 678-2026

Authorized Official

Name: MITCHELL STOTTLAND
Title: OWNER
Phone: (561) 678-2026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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