Individual
DR. NICHOLAS JOSEPH MICHALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11644 W 75TH ST, SUITE 3, SHAWNEE, KS 66214-1372
(913) 962-4004
(913) 962-6817
Mailing address
11644 W 75TH ST, SUITE 3, SHAWNEE, KS 66214-1372
(913) 962-4004
(913) 962-6817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KS19239
KS
Other
Enumeration date
12/06/2006
Last updated
11/29/2011
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