Individual
GREGORY E KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 GRAND CENTRAL MALL STE 11, VIENNA, WV 26105-4100
(304) 916-1270
(304) 916-1705
Mailing address
118 WAVERLY OAKS LN, WILLIAMSTOWN, WV 26187-7917
(304) 464-4922
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20217
WV
207Y00000X
Otolaryngology Physician
35080785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802567000
—
WV
05
—
2204144
—
OH
Enumeration date
03/28/2006
Last updated
05/13/2015
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