Individual provider · Type 1 NPI

Peter Earl David Kaczkofsky, DO

Obstetrics & Gynecology Physician · Wyoming, MI

NPI number 1710089453 Active

Practice location

2221 Health Dr SW
Wyoming, MI 49509

Call (616) 252-4410 Map

Fax (616) 252-4480

Mailing address

5900 Byron Center Ave SW, Medical Administration
Wyoming, MI 49519-9700

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	012006 (MI)

Obstetrics & Gynecology Physician: 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.

2 other providers at this address

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About NPI 1710089453

Peter Earl David Kaczkofsky, DO's National Provider Identifier is 1710089453, issued on Sep 2, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Wyoming, MI. The record was last updated on Dec 8, 2017.