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Individual

DR. MICHAEL J KRAEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
508 W 6TH AVE, SUITE 700, SPOKANE, WA 99204-2730
(509) 747-1624
(509) 747-6774
Mailing address
508 W 6TH AVE, SUITE 700, SPOKANE, WA 99204-2730
(509) 747-1624
(509) 747-6774

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00016924
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003277500
IDAHO MEDICAID
ID
01
0101509
WASHINGTON L&I
WA
05
1017524
WA
Enumeration date
10/20/2005
Last updated
01/19/2012
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