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Individual

DR. PETER KADLECIK

Active
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Individual

DR. PETER KADLECIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0061074
MD
207RI0200X
Infectious Disease Physician
Primary
D0061074
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132190100
MD
05
404014700
MD
Enumeration date
06/13/2006
Last updated
11/23/2021
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