Individual
MARLA KRUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5529 HOHMAN AVE, HAMMOND, IN 46320-1936
(219) 853-7100
(219) 937-5958
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005939A
IN
207R00000X
Internal Medicine Physician
36146274
IL
207RI0200X
Infectious Disease Physician
Primary
02005939A
IN
208M00000X
Hospitalist Physician
036.146274
IL
Other
Enumeration date
04/15/2015
Last updated
05/04/2023
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