Individual
DANIEL ROBERT KRAUCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9555 S EASTERN AVE STE 290, LAS VEGAS, NV 89123-8009
(702) 870-3722
(725) 777-1304
Mailing address
1101 BAYSIDE DR, CORONA DEL MAR, CA 92625-1702
(833) 753-3435
(725) 777-1304
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A11543
CA
208100000X
Physical Medicine & Rehabilitation Physician
2865
NV
208100000X
Physical Medicine & Rehabilitation Physician
5101016276
MI
Other
Enumeration date
09/08/2010
Last updated
12/29/2023
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