Individual
ANNE SCHROEDER KRAFSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
Mailing address
3301 LAKE AVE, FORT WAYNE, IN 46805-5529
(260) 422-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01080522A
IN
207W00000X
Ophthalmology Physician
35960
SC
208600000X
Surgery Physician
MMD.35960 LL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300014701
—
IN
Enumeration date
06/30/2013
Last updated
10/02/2018
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