Kaczor, Mark Walter
Kaczor, Mark Walter is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kaczor, Mark Walter can be contacted via phone (507) 284-0702.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30258 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13525-320 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67759 | Minnesota |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 67759 | Minnesota |
Profile Details
| NPI number | 1497319065 |
|---|---|
| LBN Legal business name | Kaczor, Mark Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2019 |
| Last updated | Aug 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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