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1063459113
DANIEL WADE KAKUSKA
BALTIMORE, MD
NPI
1063459113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MD D42067)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
-- DANIEL WADE KAKUSKA M.D.
600 WYNDHURST AVE SUITE 306
BALTIMORE, MD 21210-2489
Phone number: 410-517-2690
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Mailing Address
-- DANIEL WADE KAKUSKA M.D.
214 CHURCH RD
REISTERSTOWN, MD 21136-6208
Phone number: 410-517-2690
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