Provider Demographics
NPI:1407110216
Name:EKSTRAND, JOSEPH J (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:EKSTRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 MARTY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2557
Mailing Address - Country:US
Mailing Address - Phone:913-341-4000
Mailing Address - Fax:515-241-6576
Practice Address - Street 1:10550 MARTY ST STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2557
Practice Address - Country:US
Practice Address - Phone:913-341-4000
Practice Address - Fax:515-241-6576
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAR9575207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine