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Individual

DR. DANI KRUCHEVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119-0846
(901) 866-8525
(901) 302-2525
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
68111
TN
208600000X
Surgery Physician
478246
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
68111
TN

Other

Enumeration date
12/12/2022
Last updated
03/26/2025
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