Individual
THOMAS F KRENEK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 HARRISON AVE, EUREKA, CA 95501-3215
(707) 269-9550
Mailing address
PO BOX 692, BAYSIDE, CA 95524-0692
(707) 269-9550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G43797
CA
2084N0400X
Neurology Physician
Primary
G43797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G437970
—
CA
01
—
130004937
RAILROAD MEDICARE
—
Enumeration date
05/03/2006
Last updated
03/18/2013
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