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Individual
STEPHEN JOHN KLACIK
Active
Individual
STEPHEN JOHN KLACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054230
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032998
AMERIGROUP
GA
01
—
1908730
UHC
GA
01
—
302568
WELLCARE
GA
01
—
302579
WELLCARE
GA
01
—
302580
WELLCARE
GA
01
—
302581
WELLCARE
GA
01
—
3532508
AETNA HMO
GA
01
—
3548885
CIGNA
GA
01
—
52703273
BCBS
GA
01
—
5779768
AETNA PPO
GA
05
—
845371853A
—
GA
05
—
845371853B
—
GA
05
—
845371853C
—
GA
05
—
845371853D
—
GA
05
—
845371853F
—
GA
Enumeration date
01/20/2006
Last updated
08/17/2023
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