Individual provider · Type 1 NPI

Andrew Declerk, MD

Vascular Surgery Physician · Wichita, KS

NPI number 1124511399 Active

Practice location

9350 E 35th St N Ste 103
Wichita, KS 67226-2022

Mailing address

551 N Hillside St Ste 201
Wichita, KS 67214-4925

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X04-50892 (KS)
Surgery Physician 208600000X04-50892 (KS)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1124511399

Andrew Declerk, MD's National Provider Identifier is 1124511399, issued on Jun 12, 2018. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Wichita, KS. The record was last updated on Oct 9, 2025.