Provider Type: Allopathic & Osteopathic Physicians
Provider Classification: Family Medicine
Definition of Specialization:
Address: 6432 East 34th Street North
Wichita, KS 67226
Phone: (316) 691-9214
Fax: (316) 691-9708
Authorized Official: Shaw, Michael N, P.A.
Authorized Official Position: Owner/president
Authorized Official Phone: (316) 691-9214


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