Individual
ANDREW D KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301094358
MI
207Y00000X
Otolaryngology Physician
Primary
MD172862
OR
208600000X
Surgery Physician
MD172862
OR
390200000X
Student in an Organized Health Care Education/Training Program
4301094358
MI
Other
Enumeration date
06/25/2009
Last updated
05/12/2026
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