Individual
CHARITY KRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1657 FOUNTAIN LN, WACONIA, MN 55387-9439
(612) 709-8279
Mailing address
1657 FOUNTAIN LN, WACONIA, MN 55387-9439
(612) 709-8279
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
04036
KY
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
66465
MN
2083P0901X
Public Health & General Preventive Medicine Physician
R3664
KY
390200000X
Student in an Organized Health Care Education/Training Program
0087
SD
390200000X
Student in an Organized Health Care Education/Training Program
0233
SD
390200000X
Student in an Organized Health Care Education/Training Program
R3664
KY
Other
Enumeration date
04/02/2012
Last updated
02/17/2023
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