Healthcare Provider Details

I. General information

NPI: 1952379364
Provider Name (Legal Business Name): CARLYLE M DUNSHEE II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 SW 6TH AVE SUITE 220
TOPEKA KS
66615-1006
US

IV. Provider business mailing address

6001 SW 6TH AVE SUITE 220
TOPEKA KS
66615-1006
US

V. Phone/Fax

Practice location:
  • Phone: 785-232-0444
  • Fax: 785-232-1562
Mailing address:
  • Phone: 785-232-0444
  • Fax: 785-232-1562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number04-29016
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: