Individual
ALAN S KRICSFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 RIDGE ST, SUITE 302, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5532
(800) 293-4214
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22137
NE
207R00000X
Internal Medicine Physician
Primary
34695
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261347
—
IA
05
—
10026480110
—
NE
05
—
1467406017
—
IA
Enumeration date
05/19/2006
Last updated
08/11/2016
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