Individual
MARK J KASSELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 WEBSTER STREET, STE 405, SAN FRANCISCO, CA 94115
(415) 923-3456
(415) 923-3121
Mailing address
2100 WEBSTER STREET, STE 405, SAN FRANCISCO, CA 94115
(415) 923-3456
(415) 923-3121
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G62355
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G623551
—
CA
Enumeration date
11/21/2006
Last updated
07/18/2013
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