Individual
KEITH S KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4020 W ROYAL DRIVE, TRAVERSE CITY, MI 49684
(231) 946-9644
(231) 946-9614
Mailing address
4020 W ROYAL DRIVE, TRAVERSE CITY, MI 49684
(231) 946-9644
(231) 946-9614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901011321
STATE ID NUMBER
MI
01
—
J113210
BCBS ID
MI
Enumeration date
04/23/2007
Last updated
07/08/2007
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