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Peter Earl David Kaczkofsky, DO
Obstetrics & Gynecology Physician in Wyoming, Michigan
NPI 1710089453

Peter Earl David Kaczkofsky is a Obstetrics & Gynecology Physician based in Wyoming, MI. Peter Earl David Kaczkofsky practices in Wyoming, MI and has the professional credentials of DO. The NPI Number for Peter Earl David Kaczkofsky is 1710089453 and holds a License No. 012006 (Michigan).

The current practice location address for Peter Earl David Kaczkofsky is 2221 Health Dr Sw, Wyoming, MI and can be reached out via phone at 616-252-4410 and via fax at 616-252-4480.

Location: 2221 Health Dr Sw, Wyoming, MI, 49519-9700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710089453
Provider Name
Peter Earl David Kaczkofsky
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2221 Health Dr Sw, Wyoming, MI, 49519-9700
Phone Number
616-252-4410
Fax Number
616-252-4480
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1654101584 01 MI BLUE CARE NETWORD
4708195 05 MI
4708275 05 MI
4708005 05 MI
1654101584 01 MI BLUE CROSS BLUE SHIELD
4708168 05 MI
institution
Provider Business Practice Location Address Details
Address
2221 Health Dr Sw
City
Wyoming
State
Michigan
Zip
49509
Phone Number
616-252-4410
Fax Number
616-252-4480
person
Provider Business Mailing Address Details
Address
2221 Health Dr Sw
City
Wyoming
State
Michigan
Zip
49509
Phone Number
616-252-4410
Fax Number
616-252-4480
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
012006 (Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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