Individual
ANDREW S HENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3243 E MURDOCK ST STE 404, WICHITA, KS 67208-3007
(316) 685-6222
Mailing address
3243 E MURDOCK ST STE 404, WICHITA, KS 67208-3007
(316) 685-6222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-37420
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201110330
—
KS
Enumeration date
06/20/2008
Last updated
10/01/2021
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