NPI 1003080102

Mark Andrew Kachan, DPM

Practitioner Podiatrist Green Bay, WI

Practice location

Address: 2793 Lineville Rd, Green Bay, WI 54313-7152
Phone: (920) 496-4700

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1024-25 (WI)

Other Podiatrist providers in Wisconsin →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence MK002134 (MI)

Registry record

NPI: 1003080102
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2008
Record last updated: 7 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.