| Ron J Marek DO P a | |
|
1901 N Maize Road Wichita KS 67212 | |
| (316) 462-1050 | |
| (316) 462-1053 |
| Full Name | Ron J Marek DO P a |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 N Maize Road, Wichita, Kansas |
| Authorized Official Name and Position | Jessie Mccormick (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3164621050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron J Marek DO P a 1901 N Maize Road Wichita KS 67212 Ph: (316) 462-1050 | Ron J Marek DO P a 1901 N Maize Road Wichita KS 67212 Ph: (316) 462-1050 |
| NPI Number | 1073577292 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073577292 | NPI | - | NPPES |
| 100395780A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-25073 (Kansas) | Primary |
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