Individual
DANIEL WADE KAKUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 WYNDHURST AVE, SUITE 306, BALTIMORE, MD 21210-2489
(410) 517-2690
Mailing address
214 CHURCH RD, REISTERSTOWN, MD 21136-6208
(410) 517-2690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D42067
MD
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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