Organization
JOHN TKACH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TKACH MD (OWNER AND PROVIDER)
(207) 454-3501
Entity
Organization
Contact information
Practice address
5 LOWELL ST, SUITE 6, CALAIS, ME 04619-1712
(207) 454-3500
(207) 454-3503
Mailing address
PO BOX 116, CALAIS, ME 04619-0116
(207) 454-3500
(207) 454-3503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
04/10/2008
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