Joseph B Petelin in Shawnee Mission - Surgery

Joseph B Petelin - NPI 1982658639

Joseph B Petelin is a Surgery in Shawnee Mission, Kansas. Joseph B Petelin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Joseph B Petelin is 1982658639. The last update date is 2007-07-08.

Joseph B Petelin's current location address is 9119 W 74th St, Shawnee Mission, Kansas. You can contact this provider via phone number 9134325420 and fax number 9134327749. The mailing address for Joseph B Petelin is 9119 W 74th St, Shawnee Mission, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph B Petelin
Address 9119 W 74th St, Shawnee Mission, Kansas
Phone Number 9134325420
Fax Number 9134327749
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1982658639
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9119 W 74th St
City Shawnee Mission
State Kansas (KS)
Post Code 662042236
Phone Number 9134325420
Fax Number 9134327749

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 4-17417
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Joseph B Petelin

What is the unique 10-digit identifier code assigned to Joseph B Petelin by the Centers for Medicare & Medicaid Services?

The Joseph B Petelin has been issued the NPI (National Provider Identifier) 1982658639 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Joseph B Petelin located?

The Joseph B Petelin is located at 9119 W 74Th St, Shawnee Mission, KS 662042236.

What is Joseph B Petelin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joseph B Petelin is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1982658639 to Joseph B Petelin?

The Joseph B Petelin received its 1982658639 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.

As of what date were the details related to Joseph B Petelin most recently updated or revised?

The information pertaining to Joseph B Petelin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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