Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Walter Kaczor, MD

Individual provider Pediatrics Physician · NPI 1497319065

Mark Walter Kaczor, MD is a Pediatrics Physician in Rochester, Minnesota. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2019.

Licensed in
MN, WI
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-0702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 67759 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 30258 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 13525-320 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 67759 (MN)

Record details

NPI number1497319065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2019
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

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