Individual
DR. STANLEY KYLE SACHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 PROFESSIONAL PKWY, TROY, MO 63379-2823
(636) 462-6106
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020024150
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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