Provider Demographics
NPI:1962478693
Name:STUEVE, ANGELA M (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:STUEVE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 COMMUNITY DR
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:KS
Mailing Address - Zip Code:66538-9739
Mailing Address - Country:US
Mailing Address - Phone:785-336-6107
Mailing Address - Fax:785-336-3413
Practice Address - Street 1:1600 COMMUNITY DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:KS
Practice Address - Zip Code:66538-9739
Practice Address - Country:US
Practice Address - Phone:785-336-6107
Practice Address - Fax:785-336-3413
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6309207Q00000X
KS04-32220207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS104671OtherBLUE CROSS/BLUE SHIELD
KS104671Medicare ID - Type Unspecified
KSI35338Medicare UPIN