Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 04-43612 | KS |
N | 208600000X | Surgeon | 04-43612 | KS |
N | 208200000X | Surgeon | 2012020348 | MO |
N | 208600000X | Surgeon | 2012020348 | MO |
N | 208200000X | Surgeon | 65937 | MN |
N | 208600000X | Surgeon | 65937 | MN |
N | 208200000X | Surgeon | R-9757 | IA |
N | 208600000X | Surgeon | R-9757 | IA |
Y | 2086S0102X | Surgical Critical Care | 04-43612 | KS |
NPI | 1033473426 |
---|---|
Provider Name | Wade William Stinson JR. |
First Address | Topeka, KS 66604-1301 |
Second Address | Topeka, KS 66606-1679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2012 |
Last Update Date | 30/09/2021 |