Individual
BRETT DOUGLAS KRASNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 WAYLES LN STE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Mailing address
215 WAYLES LN STE 150, CHARLOTTESVILLE, VA 22911-4631
(434) 964-9500
(434) 964-9501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101237413
VA
207ND0900X
Dermatopathology Physician
0101237413
VA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
0101237413
VA
207NS0135X
Procedural Dermatology Physician
0101237413
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010163226
—
VA
01
—
178139
BCBS
—
Enumeration date
03/14/2006
Last updated
04/13/2022
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