Individual
DR. NICHOLAS G. BROCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 PROGRESS DR, SUITE 200, LANSING, KS 66043-6326
(913) 651-3111
Mailing address
1004 PROGRESS DR, SUITE 200, LANSING, KS 66043-6326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33672
KS
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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