Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 04-15211 | KS |
Y | 111NI0900X | Internist | 04-15211 | KS |
N | 207RA0201X | Internist - Allergy & Immunology | 04-15211 | KS |
NPI | 1508845082 |
---|---|
Provider Name | Michael W Treweeke |
First Address | Denver, CO 80237-3486 |
Second Address | Wichita, KS 67220-2729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2006 |
Last Update Date | 21/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100093510C | (05) | KS |
100093510G | (05) | KS |
B91080 | (02) | KS |