Organization
INTERNAL MEDICINE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH R KRANZ MD (PRESIDENT)
(307) 635-4141
Entity
Organization
Contact information
Practice address
7212 COMMONS CIR, CHEYENNE, WY 82009-2667
(307) 635-4141
(307) 635-6587
Mailing address
7212 COMMONS CIR, CHEYENNE, WY 82009-2667
(307) 635-4141
(307) 635-6587
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106240900
—
WY
Enumeration date
01/30/2007
Last updated
03/07/2018
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