Doctor Name: | DR. HINRICH STAECKER |
NPI Number: | 1518909050 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, PHD |
License Number: | 04-31461 |
Business Practice Address: | 3901 Rainbow Blvd Kansas University Physicians Inc Kansas City, KS - 661600001 |
Business Phone Number: | 9135886728 |
Business Fax Number: | |
Mailing Address: | 3901 Rainbow Blvd, Kansas University Physicians Inc KANSAS CITY |
State: | KS |
Postal Code: | 661600001 |
Phone Number: | 9135886701 |
Fax Number: | 9135886708 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 04-31461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |