Individual
CHARLES M WURM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 SW JEWELL AVE, TOPEKA, KS 66606-1607
(785) 292-5310
(785) 295-5370
Mailing address
PO BOX 1657, TOPEKA, KS 66601-1657
(785) 295-5307
(785) 270-7646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500413
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100342090D
—
KS
Enumeration date
02/01/2006
Last updated
04/18/2011
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