Individual
DR. GRACE NIZIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 63110-1003
(314) 362-5298
(888) 824-2176
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-5298
(888) 824-2176
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2023027659
MO
208600000X
Surgery Physician
Primary
2023027659
MO
2086S0102X
Surgical Critical Care Physician
2023027659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200126738
—
MO
Enumeration date
03/31/2014
Last updated
04/17/2025
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