Individual
DR. ALICE MARIE KACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 416-6262
(855) 643-6164
Mailing address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 416-6262
(855) 643-6164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301070137
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H11747
BCBS
MI
05
—
4219146
—
MI
01
—
P01003972
MEDICARE RAILROAD
MI
Enumeration date
06/10/2006
Last updated
06/08/2022
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