Individual
BRIAN KREUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2959 SISKIYOU BLVD, SUITE A, MEDFORD, OR 97504-8131
(541) 773-2110
(541) 734-7368
Mailing address
3200 HILLCREST PARK DR 200, MEDFORD, OR 97504-7686
(541) 773-6700
(866) 430-4035
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD28013
OR
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
MD
OR
2086S0122X
Plastic and Reconstructive Surgery Physician
MD28013
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205944782
NPI
OR
Enumeration date
08/26/2006
Last updated
11/13/2015
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