Organization
MICHAEL N KRUTZIK MD A MEDICAL CORPORATION
Active
Organization
MICHAEL N KRUTZIK MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N KRUTZIK MD (PRESIDENT)
(760) 352-6766
Entity
Organization
Contact information
Practice address
790 W ORANGE AVE STE C, EL CENTRO, CA 92243-3274
(760) 352-6766
Mailing address
528 G ST, BRAWLEY, CA 92227-2411
(760) 344-6355
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A66632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A666320
—
CA
01
—
1447290168
INDIVIDUAL NPI
CA
Enumeration date
09/12/2007
Last updated
02/05/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up