Individual
DR. MARY S. KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8229
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101265606
VA
207R00000X
Internal Medicine Physician
9701797
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093H
BCBS NC
NC
01
—
110163680
RAILROAD MEDICARE
NC
05
—
891093H
—
NC
Enumeration date
08/22/2005
Last updated
12/10/2020
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