Individual
HANNES KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4009
Mailing address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244227
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
244227
MA
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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