Individual
DR. MARK PETER DE CAESTECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B., B.S., PH.D.,
Contact information
Practice address
NEPHROLOGY DIVISION S3223 MEDICAL CTR N, 1161 21ST STREET SOUTH, NASHVILLE, TN 37232-0001
(615) 343-2844
(615) 343-2675
Mailing address
NEPHROLOGY DIVISION S3223 MEDICAL CTR N, 1161 21ST STREET SOUTH, NASHVILLE, TN 37232-0001
(615) 343-2844
(615) 343-2675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000034874
TN
207RN0300X
Nephrology Physician
MD0000034874
TN
Other
Enumeration date
11/01/2006
Last updated
08/21/2007
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