Provider Demographics
NPI:1497712491
Name:ARTZER, DENNIS CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CHARLES
Last Name:ARTZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 SW HORNE ST/
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606
Mailing Address - Country:US
Mailing Address - Phone:785-232-4545
Mailing Address - Fax:785-232-0555
Practice Address - Street 1:631 SW HORNE
Practice Address - Street 2:SUITE 420
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606
Practice Address - Country:US
Practice Address - Phone:785-232-4545
Practice Address - Fax:785-232-0555
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0417173207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100084370BMedicaid
KS100084370BMedicaid
390003660Medicare PIN
KS102021Medicare PIN