Individual
DR. NICKOLAS STASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, CHILDREN'S MERCY HOSPITAL, KANSAS CITY, MO 64108-4619
(816) 234-3585
Mailing address
8781 N PLATTE PURCHASE DR, KANSAS CITY, MO 64155-1829
(816) 587-3200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019023429
MO
Other
Enumeration date
04/01/2016
Last updated
01/31/2022
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