Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY WALLACE KACZMAR, M.D.
ActiveTIMOTHY WALLACE KACZMAR, M.D. is a Family Medicine healthcare provider located in ELDRIDGE, California. NPI 1447244405 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ELDRIDGE, CA
Registration Details
- NPI Number
- 1447244405
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.940945054306 yrs)
- Last Updated
- Nov 17, 2016
- License
-
G68791 (CA)
Practice Information
- Address
-
15000 ARNOLD DRELDRIDGE, CA, 954318900Browse CA providers · Browse ZIP 95431
- Phone
- 7079386000
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ELDRIDGE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARY BRODERICK CHRISTENSEN | MD | 1982656724 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.