Individual
MR. MICAIAH MATTHEW KUZMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 INLAND SHORES WAY, KEIZER, OR 97303
(503) 399-2424
(503) 589-6240
Mailing address
2020 CAPITOL STREET NE, SALEM, OR 97301
(503) 399-2424
(503) 589-6240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
152066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624513
—
OR
01
—
P00866340
RAILROAD MEDICARE
OR
Enumeration date
10/26/2006
Last updated
04/25/2013
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