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Individual
DAVID E KRAGENBRINK
Active
Individual
DAVID E KRAGENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30061
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16783
WELLMARK BCBS
IA
05
—
3116665
—
IA
Enumeration date
09/19/2005
Last updated
10/20/2016
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