Individual
MICHAEL E. KRESTYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN197178L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
027257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03223701
CAPITAL ADVANTAGE
PA
05
—
1027806380001
—
PA
01
—
11716950
CAQH
PA
01
—
1343814
HIGHMARK
PA
01
—
1542914
GATEWAY
PA
01
—
2036425000
IND. BLUE CROSS
PA
01
—
82854
GEISINGER
PA
01
—
9132448
AETNA
PA
Enumeration date
10/05/2005
Last updated
03/25/2013
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