Individual
JOHN DONALD FECZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 983-8300
(219) 983-8014
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
01041467A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01041467A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095430
—
IN
01
—
351173213
SAGAMORE
—
01
—
737122002
CIGNA
—
01
—
82426
BCBS
—
Enumeration date
08/25/2005
Last updated
01/23/2024
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