Individual
DR. HENRIKE BEATE KROEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
113 HOWARD ST, PETOSKEY, MI 49770-4612
(231) 348-6454
(231) 347-5205
Mailing address
113 HOWARD ST, PETOSKEY, MI 49770-4612
(231) 348-6454
(231) 347-5205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11281154
CAQH PROVIDER NUMBER
—
01
—
68OB335950
BCBS PROVIDER ID
MI
Enumeration date
12/14/2006
Last updated
07/08/2007
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