Restore Medical Group Midwest LLC

NPI #1609500701 in Wichita, Kansas

Provider Information

NPI Number: 1609500701
Entity Type: Organization
Organization Name: Restore Medical Group Midwest LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 13, 2022
Last Updated: Aug 11, 2024

Practice Location

Address: 12021 E 13TH ST N STE 119
City: Wichita
State: Kansas
ZIP Code: 67206-2843
Phone: (316) 330-5353

Authorized Official

Name: MICHAEL MAGES
Title: OPERATIONS MANAGER
Phone: (316) 558-7497

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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