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Individual

RICHARD KRUMDIECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 MEDICAL PARK ROAD, STE 101, MOORESVILLE, NC 28117-8524
(704) 799-3946
(704) 799-3956
Mailing address
170 MEDICAL PARK RD, STE 101, MOORESVILLE, NC 28117-8540
(704) 799-3946
(704) 799-3956

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
9701019
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10907
BCBS
05
8910907
NC
Enumeration date
05/27/2005
Last updated
08/18/2021
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