Wiksten, Andrew R

Wiksten, Andrew R is an individual health care provider with primary practice located at 823 Sw Mulvane St Suite 210, Topeka KS 66606-1679. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wiksten, Andrew R can be contacted via phone (785) 235-3451.

Contact Information

Primary practice address
823 Sw Mulvane St Suite 210 Topeka KS 66606-1679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 04-30638 Kansas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-30638 Kansas

Profile Details

NPI number 1760475990
LBN Legal business name Wiksten, Andrew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760475990 NPPES
Kansas Other P00154511 PALMETTO GBA RR MEDICARE

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