Provider Demographics
NPI:1407836901
Name:MEISTER, ANDREW F (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:F
Last Name:MEISTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1515 S CLIFTON AVE
Mailing Address - Street 2:#200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2900
Mailing Address - Country:US
Mailing Address - Phone:316-618-1515
Mailing Address - Fax:316-618-8635
Practice Address - Street 1:1515 S CLIFTON AVE
Practice Address - Street 2:#200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-2900
Practice Address - Country:US
Practice Address - Phone:316-618-1515
Practice Address - Fax:316-618-8635
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-31222207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I15731Medicare UPIN
104777Medicare ID - Type Unspecified