Organization
NICHOLAS BROCKERT MD AN OPERATING DIVISION OF SAINT JOHN HOSPITAL
Active
Parent organization
SAINT JOHN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT JOHN HOSPITAL
Authorized official
MR. MICHAEL A DORSEY (CEO PROVIDENCE HEALTH)
(913) 596-4000
Entity
Organization
Contact information
Practice address
1004 PROGRESS DR, SUITE 200, LANSING, KS 66043-6326
(913) 651-3111
(913) 651-3103
Mailing address
PO BOX 12406, KANSAS CITY, KS 66112-0406
(913) 825-6512
(913) 328-7011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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