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
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