person
Dr. Stacy L Peterson, MD
Plastic and Reconstructive Surgery Physician in Wichita, Kansas
NPI 1316030638

Stacy L Peterson is a Plastic and Reconstructive Surgery Physician based in Wichita, KS and is specialized in Plastic and Reconstructive Surgery. Stacy L Peterson practices in Wichita, KS and has the professional credentials of MD. The NPI Number for Stacy L Peterson is 1316030638 and holds a License No. 0419242 (Kansas).

The current practice location address for Stacy L Peterson is 818 N Emporia St, Wichita, KS and can be reached out via phone at 316-265-1441 and via fax at 316-265-1685. You can also correspond with Stacy L Peterson through the mailing address at 818 N EMPORIA ST, WICHITA, KS - 67214-3729 (mailing address contact number: 316-265-1441).

Location: 818 N Emporia St, Wichita, KS, 67214-3729
person
Provider Profile Details
NPI Number
1316030638
Provider Name
Stacy L Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
818 N Emporia St, Wichita, KS, 67214-3729
Phone Number
316-265-1441
Fax Number
316-265-1685
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
818 N Emporia St
City
State
Zip
67214-3729
Phone Number
316-265-1441
Fax Number
316-265-1685
person
Provider Business Mailing Address Details
Address
818 N Emporia St
City
State
Zip
67214-3729
Phone Number
316-265-1441
Fax Number
316-265-1685
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
0419242 (Kansas)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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