# KREUTZMANN MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1588804041
- **Authorized official:** DR. ROBERT J KREUTZMANN MD (OWNER)
- **Authorized official phone:** (334) 774-7572

## Contact information

- **Practice address:** 359 JAMES ST, OZARK, AL 36360-2014
- **Practice address phone:** (334) 774-7572
- **Practice address fax:** (334) 774-6237
- **Mailing address:** 359 JAMES ST, OZARK, AL 36360-2014
- **Mailing address phone:** (334) 774-7572
- **Mailing address fax:** (334) 774-6237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 21379 | AL | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 02/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 51095291 | ALABAMA BCBS | AL |