Individual
MARK KASELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1939 OBERLIN AVE, LORAIN, OH 44052-3959
(440) 963-7042
Mailing address
3855 EDGEWATER DR, VERMILION, OH 44089-2281
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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