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Individual
PHILIP C KRAUSE
Active
Individual
PHILIP C KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501002005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5870183
AETNA
—
Enumeration date
10/23/2006
Last updated
03/13/2008
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