Individual
MATTHEW G MESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2117 KEYSTONE CIR, ANDOVER, KS 67002-8749
(316) 733-5120
(316) 733-1280
Mailing address
2117 KEYSTONE CIR, ANDOVER, KS 67002-8749
(316) 733-5120
(316) 733-1280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0531492
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
05-31492
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367460C
—
KS
05
—
200367460L
—
KS
Enumeration date
07/19/2006
Last updated
05/16/2025
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