IndividualActive
Mark Kachan, DPM
NPI 1003080102 · Podiatrist · Green Bay, WI
Provider details
- NPI number
- 1003080102
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- MK002134 (MI)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
2793 Lineville Rd
Green Bay, WI 54313-7152
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
2793 Lineville Rd
Green Bay, WI 54313-7152
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2013-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.