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Individual

SCOTT A KREITZBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101019676
MI
208600000X
Surgery Physician
5315085034
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
6831
OK

Other

Enumeration date
05/03/2012
Last updated
07/13/2021
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