Individual
DR. MARK W BRANDSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
823 SW MULVANE ST STE 275, TOPEKA, KS 66606-1687
(785) 270-4355
(785) 270-4364
Mailing address
823 SW MULVANE ST STE 275, TOPEKA, KS 66606-1687
(785) 270-4355
(785) 270-4356
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-17547
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002070
MEDICARE PTAN
KS
05
—
100138040B
—
KS
01
—
340006328
TRAVELERS MEDICARE
—
Enumeration date
08/16/2006
Last updated
04/06/2018
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