Individual provider · NPI-1

Jennifer L Maciaszek, MD

Family Medicine · Plainville, KS

NPI number1992153910
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1992153910
Entity type
Individual (NPI-1)
Name
Jennifer L Maciaszek
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 31, 2016
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine04-42574KSYes
207Q00000X Family Medicine110874AK

Practice location

1210 N Washington
Plainville, KS 67663-1632

Phone 785-434-2622 · Fax 785-434-2577

Mailing address

Po Box 407
Plainville, KS 67663-0407

Phone 785-434-2622 · Fax 785-434-2577

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