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Individual

PETER P KASZNICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 336-3503
(605) 336-6010
Mailing address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 336-3503
(605) 336-6010

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
7876
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00902539
RAILROAD MEDICARE
Enumeration date
02/22/2007
Last updated
04/18/2011
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