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Individual
MR. MATTHEW D. KRAEMER
Active
Individual
MR. MATTHEW D. KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT21000
BLUE SHIELD COMMERCIAL
—
05
—
PT00211000
—
CA
05
—
PT0211000
—
CA
Enumeration date
09/02/2006
Last updated
03/12/2012
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