Individual
EDWARD PHILIP GUTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Mailing address
11501 GRANADA ST, LEAWOOD, KS 66211-1454
(913) 451-3722
(913) 451-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
04-18115
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05177012
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/19/2005
Last updated
07/11/2024
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