Individual
GEORGE C WANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
3707 SW 6TH AVE, TOPEKA, KS 66606
(785) 270-4630
(785) 270-2084
Mailing address
3707 SW 6TH AVE, TOPEKA, KS 66606-2084
(785) 270-4630
(785) 270-2084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0872
KS
1041C0700X
Clinical Social Worker
Primary
0904013038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070321
MEDICARE PTAN
KS
05
—
100097940A
—
KS
01
—
110661020
MEDICARE PTAN
KS
05
—
200439570B
—
KS
Enumeration date
01/30/2006
Last updated
12/03/2021
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