# INTERNAL MEDICINE GROUP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215073705
- **Authorized official:** KENNETH R KRANZ MD (PRESIDENT)
- **Authorized official phone:** (307) 635-4141

## Contact information

- **Practice address:** 7212 COMMONS CIR, CHEYENNE, WY 82009-2667
- **Practice address phone:** (307) 635-4141
- **Practice address fax:** (307) 635-6587
- **Mailing address:** 7212 COMMONS CIR, CHEYENNE, WY 82009-2667
- **Mailing address phone:** (307) 635-4141
- **Mailing address fax:** (307) 635-6587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106240900 | — | WY |