Individual
DR. SAMANTHA DENAE KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(517) 474-1989
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301110165
MI
208800000X
Urology Physician
Primary
4301110165
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013366491
—
WI
Enumeration date
06/07/2016
Last updated
07/15/2021
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