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Individual

JAMES R KRAVIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27256
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0406883
MEDICA
01
27G39KR
BLUE CROSS MN FACILITY
MN
05
30667900
WI
01
64Q61KR
BLUE CROSS MN PRO FEE
MN
01
HP10813
HEALTHPARTNERS
01
NA9030224008
PREFERREDONE
01
WI0000622
CHAMPUS TRICARE
Enumeration date
08/31/2006
Last updated
07/08/2007
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