John Tkach Md | |
5 Lowell St Suite 6 Calais ME 04619-1712 | |
(207) 454-3500 | |
(207) 454-3503 |
Full Name | John Tkach Md |
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Speciality | Internal Medicine |
Location | 5 Lowell St, Calais, Maine |
Authorized Official Name and Position | John Tkach (OWNER AND PROVIDER) |
Authorized Official Contact | 2074543501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John Tkach Md Po Box 116 Calais ME 04619-0116 Ph: (207) 454-3500 | John Tkach Md 5 Lowell St Suite 6 Calais ME 04619-1712 Ph: (207) 454-3500 |
NPI Number | 1346309796 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346309796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
St Croix Regional Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Lowell St Ste 4, Calais, ME 04619 Phone: 207-796-5503 Fax: 207-796-5528 | |