Individual
DR. ETHAN EDWIN BICKELHAUPT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
3315 SW 15TH ST, TOPEKA, KS 66604-2519
(785) 273-3400
(785) 273-2312
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
04-18225
KS
2084P0800X
Psychiatry Physician
Primary
04-18225
KS
2084P0805X
Geriatric Psychiatry Physician
04-18225
KS
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
04-18225
KS
Other
Enumeration date
06/18/2006
Last updated
01/28/2016
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