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To be listed on the IETF website:   - Please fill out the following form and submit. - Then fax your CV to 913-341-1296. - Submissions will not automatically be listed, but must first be approved by the medical advisory board. - Please allow two weeks for approved submissions to be posted. - If you have any questions please call 913-341-3880. We do not list neurosurgeons on our website, but instead refer people to the Medtronic website. Name (Last name, First name) * MD DO Name of Practice or Institute Address * City * State/Province * Zip/Postal Code * Country * Email * Website Appointment Phone * Fax Board Certified? Yes   No Specialty: Adult   Pediatrics Memberships: AMA ANA AAN MDS Other Office Services: Botox DBS Programming   Share additional information about your request:   Thank You!   Write the characters in the image above (Case sensitive)