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Mark Alan Hacholski, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1568995694

Mark Alan Hacholski is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Mark Alan Hacholski practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Mark Alan Hacholski is 1568995694 and holds a License No. A169591 (California).

The current practice location address for Mark Alan Hacholski is 3544 30Th St, San Diego, CA and can be reached out via phone at 619-515-2424.

Location: 3544 30Th St, San Diego, CA, 92102-4541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568995694
Provider Name
Mark Alan Hacholski
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3544 30Th St, San Diego, CA, 92102-4541
Phone Number
619-515-2424
Fax Number
Provider Enumeration Date
04/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
846419 05 SC
institution
Provider Business Practice Location Address Details
Address
3544 30Th St
City
San Diego
State
California
Zip
92104-4120
Phone Number
619-515-2424
Fax Number
person
Provider Business Mailing Address Details
Address
3544 30Th St
City
San Diego
State
California
Zip
92104-4120
Phone Number
619-515-2424
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
84641 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A169591 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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