Basic Information
| Provider Information | |||||||||
| NPI: | 1033473426 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STINSON | ||||||||
| FirstName: | WADE | ||||||||
| MiddleName: | WILLIAM | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 823 SW MULVANE ST STE 330 | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853549591 | ||||||||
| FaxNumber: | 7853540519 | ||||||||
| Practice Location | |||||||||
| Address1: | 823 SW MULVANE ST STE 330 | ||||||||
| Address2: | |||||||||
| City: | TOPEKA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 666061679 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7853549591 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2012 | ||||||||
| LastUpdateDate: | 03/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | R-9757 | IA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 2012020348 | MO | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 04-43612 | KS | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 65937 | MN | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 04-43612 | KS | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care |
No ID Information.