Individual
DR. JACE JAMES RICKSTREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 ANDERSON AVE STE F, MANHATTAN, KS 66503-7603
(785) 539-4645
(785) 539-1655
Mailing address
9300 E 29TH ST N STE 310, WICHITA, KS 67226-2160
(316) 612-1833
(316) 612-2420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-48669
KS
207ND0101X
MOHS-Micrographic Surgery Physician
04-48669
KS
Other
Enumeration date
03/20/2018
Last updated
09/26/2025
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