Individual
DR. TIMOTHY EDWARD KREMCHEK
Active
Individual
DR. TIMOTHY EDWARD KREMCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35-05-6040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021083
ANTHEM
OH
01
—
0901041
UNITED HEALTH CARE
OH
05
—
0941306
—
OH
01
—
410333
WELLCARE
OH
01
—
56040
HUMANA
OH
01
—
955119
AETNA
OH
Enumeration date
10/24/2005
Last updated
10/02/2012
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