Individual
DR. W JAN KAZMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000016939
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006036791
—
VA
01
—
0078009
BLUE CROSS/BLUE SHIELD
TN
01
—
01-41828
UNITED HEALTHCARE
TN
01
—
079672
ANTHEM BCBS
VA
01
—
100010179
PHP TENNESSEE
TN
01
—
110024502
MEDICARE RAILROAD
TN
05
—
3038457
—
TN
01
—
621482794
TAX ID
—
01
—
TN0101
JOHN DEERE HEALTH
TN
Enumeration date
05/03/2006
Last updated
07/18/2013
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