Provider Demographics
NPI:1396078226
Name:STONE, MICHAEL G (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:STONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:16538 W 159TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3924
Mailing Address - Country:US
Mailing Address - Phone:913-829-1660
Mailing Address - Fax:913-829-1770
Practice Address - Street 1:16538 W 159TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3924
Practice Address - Country:US
Practice Address - Phone:913-829-1660
Practice Address - Fax:913-829-1770
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2015-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS05-37939207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201113130AMedicaid
KS033D00121Medicare PIN