Individual
DR. VERONICA ALEXIS KACMAR-FEDORCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3215 WILLOWCREEK RD, PORTAGE, IN 46368-5013
(219) 763-1680
(219) 762-4279
Mailing address
3215 WILLOWCREEK RD, PORTAGE, IN 46368-5013
(219) 763-1680
(219) 762-4279
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000322A
IN
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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