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Individual

DR. THOMAS JOSEPH KASCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 COFFEE ROAD, MODESTO, CA 95355
(209) 521-8490
(209) 521-8103
Mailing address
3983 S. MCCARRAN BLVD., #232, RENO, NV 89502-7510
(702) 490-6950
(559) 473-4544

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G67586
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G675861
CA
Enumeration date
03/19/2007
Last updated
08/01/2012
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