Healthcare Provider Details

I. General information

NPI: 1447242979
Provider Name (Legal Business Name): MICHAEL C HUTCHISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2005
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 SW MULVANE ST SUITE 210
TOPEKA KS
66606-1679
US

IV. Provider business mailing address

14030 BRIAR DR
OVERLAND PARK KS
66224-1135
US

V. Phone/Fax

Practice location:
  • Phone: 785-235-3451
  • Fax: 785-235-1435
Mailing address:
  • Phone: 785-832-8536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number04-18867
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number04-18867
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: