Most Relevant Information
Provider Data
| NPI Number: | 1003080102 |
| Provider Name: | MARK ANDREW KACHAN DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213E00000X |
| Specialty: | Podiatrist |
| License Number: | MK002134 |
Most Important Dates
| Enumeration Date: | 04/18/2008 |
| Last Updated: | 06/07/2013 |
Provider Practice Location
2793 LINEVILLE RD
GREEN BAY
WI
543137152
Practice Location Phone/Fax
| Phone: | 9204964700 |
| Fax: |
Provider Mailing Location
2793 LINEVILLE RD
GREEN BAY
WI
543137152
Provider Mailing Phone/Fax
| Phone: | 9204964700 |
| Fax: |
Suggested EMR
Podiatry EMR