Individual
DR. SHANE ARTHUR KRASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DRIVE, SUITE 105, CORALVILLE, IA 52241
(319) 545-7310
(319) 545-7314
Mailing address
2771 OAKDALE BLVD STE 3, CORALVILLE, IA 52241-9747
(319) 545-7310
(319) 626-7314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33735
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253070
—
IA
05
—
1253070
—
IA
01
—
19402
BLUE CROSS BLUE SHIELD
IA
05
—
2253070
—
IA
01
—
30171
BLUE CROSS BLUE SHIELD
IA
01
—
44526
BLUE CROSS BLUE SHIELD
IA
01
—
44527
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/27/2006
Last updated
04/27/2021
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