Individual
JESSE W VIERTHALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 SW 3RD ST, TOPEKA, KS 66606-2438
(785) 354-5225
(785) 270-0005
Mailing address
2601 SW 3RD ST, TOPEKA, KS 66606-2438
(785) 354-5225
(785) 270-0005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-35372
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002342
MEDICARE PTAN
KS
05
—
200740420V
—
KS
Enumeration date
07/01/2008
Last updated
12/01/2025
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