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Individual
MR. THEODORE JOHN KRZYSIK
Active
Individual
MR. THEODORE JOHN KRZYSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704317818
MI
363L00000X
Nurse Practitioner
1123912
TX
363LF0000X
Family Nurse Practitioner
209034864
IL
363LF0000X
Family Nurse Practitioner
Primary
4704317818
MI
363LF0000X
Family Nurse Practitioner
907853
MS
Other
Enumeration date
02/03/2021
Last updated
07/28/2026
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