Individual
JOHN MICHAEL KACZMAR
Active
Individual
JOHN MICHAEL KACZMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT197543
PA
207RH0003X
Hematology & Oncology Physician
40321
SC
207RX0202X
Medical Oncology Physician
Primary
40321
SC
390200000X
Student in an Organized Health Care Education/Training Program
MT197543
PA
Other
Enumeration date
05/18/2010
Last updated
03/10/2022
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