person
Michael R. Easter, PA-C
Surgical Physician Assistant in Wichita, Kansas
NPI 1699712950

Michael R. Easter is a Surgical Physician Assistant based in Wichita, KS and is specialized in Surgical. Michael R. Easter practices in Wichita, KS and has the professional credentials of PA-C. The NPI Number for Michael R. Easter is 1699712950 and holds a License No. 15-00207 (Kansas).

The current practice location address for Michael R. Easter is 10100 E Shannon Woods St, Wichita, KS and can be reached out via phone at 316-219-8299 and via fax at 316-219-5899.

Location: 10100 E Shannon Woods St, Wichita, KS, 67226-4104
person
Provider Profile Details
NPI Number
1699712950
Provider Name
Michael R. Easter
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
10100 E Shannon Woods St, Wichita, KS, 67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042939 01 KS BLUE SHIELD
100424670B 05 KS
502180 01 KS FIRST GUARD
14012 01 KS PREFERRED HEALTH SYSTEMS
970028115 01 R. R. MEDICARE
institution
Provider Business Practice Location Address Details
Address
10100 E Shannon Woods St
City
State
Zip
67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
person
Provider Business Mailing Address Details
Address
10100 E Shannon Woods St
City
State
Zip
67226-4104
Phone Number
316-219-8299
Fax Number
316-219-5899
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15-00207 (Kansas)
Definition
Definition to come...
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