Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 04-27888 | KS |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0427888 | KS |
NPI | 1265414890 |
---|---|
Provider Name | Dr. John R Schurman II |
First Address | Wichita, KS 67226-8112 |
Second Address | Wichita, KS 67226-8112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 10/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100318640D | (05) | KS |
B49201 | (02) | KS |