Individual
NATHANIEL DEAN KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4717
Mailing address
WAKE FOREST BAPTIST MEDICAL CTR, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-0001
(336) 716-4717
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014-01719
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
2014-01719
NC
Other
Enumeration date
06/11/2012
Last updated
09/05/2017
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