MARK T KLUCKA

O FALLON, IL
NPI1801902432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: IL  036.077227)
Enumeration Date2006-08-23
Last Update Date2023-08-22
Business Address
Dr. MARK T KLUCKA D.O.
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269
Phone number: 618-641-5803
Mailing Address
Dr. MARK T KLUCKA D.O.
3 SAINT ELIZABETH BLVD
O FALLON, IL 62269-1281
Phone number: 618-641-5803