Individual
CARLY LUCILLE KRIEDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
590100286
MI
213E00000X
Podiatrist
Primary
978
MN
Other
Enumeration date
06/23/2013
Last updated
03/17/2018
Update your record
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