George P. Stachecki, M.D. Valid NPI

Individual provider · Family Medicine Physician · O'Fallon, MO

NPI

1902916927

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

2003015153 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-30

Last updated

2021-08-17