Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 3579 | IA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0534566 | KS |
NPI | 1699789982 |
---|---|
Provider Name | David D Wensel |
First Address | Topeka, KS 66606-2800 |
Second Address | Topeka, KS 66606-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 25/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I11461 | (02) |