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Individual
MARC A KRAVETTE
Active
Individual
MARC A KRAVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039598
LABOR & INDUSTRY
WA
05
—
1501600
—
WA
01
—
480020062
RAILROAD MEDICARE
—
01
—
KR5006
BLUE SHIELD
WA
01
—
PD256WA
ALASKA MEDICAID
WA
01
—
US4350544
AETNA/USHC SPECIALIST
WA
Enumeration date
09/01/2006
Last updated
06/17/2008
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