Basic Information
Provider Information
NPI: 1316001688
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WEMER
FirstName: RICHARD
MiddleName: DANIEL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6022 W 51ST ST
Address2:  
City: MISSION
State: KS
PostalCode: 662021729
CountryCode: US
TelephoneNumber: 9133843334
FaxNumber:  
Practice Location
Address1: 3901 RAINBOW BLVD
Address2: MS 3010
City: KANSAS CITY
State: KS
PostalCode: 661600001
CountryCode: US
TelephoneNumber: 9135886739
FaxNumber: 9135884676
Other Information
ProviderEnumerationDate: 12/21/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X9406382KSY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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