Individual
EDWARD KRASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 SIXTH ST, SUITE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
(231) 935-5799
Mailing address
2891 MOMENTUM PL, CHICAGO, IL 60689-5328
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704289679
MI
Other
Enumeration date
03/18/2016
Last updated
12/21/2020
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