Individual
DR. BRIAN PETER MIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6420 PROSPECT AVE, SUITE T303, KANSAS CITY, MO 64132-4147
(816) 333-1919
(816) 333-2614
Mailing address
6420 PROSPECT AVE, SUITE T303, KANSAS CITY, MO 64132-4147
(816) 333-1919
(816) 333-2614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01056
NC
207R00000X
Internal Medicine Physician
34.009866
OH
207RP1001X
Pulmonary Disease Physician
Primary
2014007846
MO
390200000X
Student in an Organized Health Care Education/Training Program
3571 M31
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114126943
—
MO
Enumeration date
07/12/2007
Last updated
01/28/2022
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