Individual
DOUGLAS A KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1979 HOLLAND AVE, SUITE C, PORT HURON, MI 48060-8639
(810) 982-1200
(810) 982-6990
Mailing address
1979 HOLLAND AVE, SUITE C, PORT HURON, MI 48060-8639
(810) 982-1200
(810) 982-6990
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
4301035998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4691650
—
MI
Enumeration date
12/22/2005
Last updated
12/03/2012
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