Healthcare Provider Details

I. General information

NPI: 1699789982
Provider Name (Legal Business Name): DAVID D WENSEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

IV. Provider business mailing address

200 SW FRAZIER CIR
TOPEKA KS
66606-2800
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-2044
  • Fax: 785-232-5567
Mailing address:
  • Phone: 785-232-2044
  • Fax: 785-232-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3579
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number0534566
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: