Individual
WILLIAM J KUCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 946-7500
Mailing address
324 MARIETTA DR, BISMARCK, ND 58504-7328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1565
ND
363A00000X
Physician Assistant
Primary
735
ND
Other
Enumeration date
11/06/2014
Last updated
12/20/2021
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