MARK KIECKBUSCH, M.D.
Pathology - Anatomic Pathology & Clinical Pathology
Active
Individual
NPI: 1215981410
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pathology - Anatomic Pathology & Clinical Pathology | 207ZP0102X | Yes | M6070 (ID) |
| Pathology - Hematology | 207ZH0000X | No | M6070 (ID) |
Frequently Asked Questions
NPI 1215981410 is the National Provider Identifier for MARK KIECKBUSCH, M.D., a Pathology - Anatomic Pathology & Clinical Pathology provider located in Boise, ID. This NPI was enumerated on May 20, 2006.
MARK KIECKBUSCH, M.D. practices at 190 E BANNOCK ST, Boise, ID 83712.
Quick Facts
- NPI
- 1215981410
- Type
- Individual
- Enumerated
- May 20, 2006
- Last Updated
- Dec 11, 2007
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