Individual
THOMAS C KRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 994-6486
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G86118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G861180
—
CA
Enumeration date
11/01/2006
Last updated
12/13/2021
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