Organization
ARLA JEAN GENSTLER MD PA
Active
Other names
Genstler Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN DOUGLAS MENKE (ADMINISTRATOR)
(785) 273-8080
Entity
Organization
Contact information
Practice address
3630 SW FAIRLAWN RD, TOPEKA, KS 66614-3966
(785) 273-8080
(785) 273-2583
Mailing address
3630 SW FAIRLAWN RD, TOPEKA, KS 66614-3966
(785) 273-8080
(785) 273-2583
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0425433
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100385370A
—
KS
01
—
110216
BLUE CROSS BLUE SHIELD
KS
01
—
DA0773
RAILROAD MEDICARE
KS
Enumeration date
04/17/2006
Last updated
11/30/2012
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