Joseph B. Petelin, M.d., Chartered

NPI #1649379447 in Shawnee Mission, Kansas

Provider Information

NPI Number
1649379447
Entity Type
Organization
Organization Name
Joseph B. Petelin, M.d., Chartered
Primary Specialty
Surgery
Enumeration Date
Sep 21, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
9119 W 74TH ST
Address 2
SUITE 255
State
Kansas
ZIP Code
66204-2236
Phone
(913) 432-5420

Authorized Official

Name
DR. JOSEPH B. PETELIN, M.D.
Title
OWNER OF THE PRACTICE
Phone
(913) 432-5420

Specialties & Taxonomy Codes

Specialty
Surgery

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