Individual
SAMUEL W AMSTUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 N WOODLAWN, WICHITA, KS 67208
(316) 684-5158
(316) 681-1005
Mailing address
1851 N WEBB RD, ATTN FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 858-3830
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0421085
KS
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
04-21085
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184750A
—
KS
01
—
180024700
RAILROAD MEDICARE
KS
01
—
CD2825
RAIL ROAD MEDICARE GROUP
KS
Enumeration date
02/17/2006
Last updated
01/29/2018
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