Individual
DAVID MICHAEL KRENCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1675 E MT GARFIELD, STE 135, MUSKEGON, MI 49444
(231) 799-8880
(231) 799-8803
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4124
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
5101009718
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4120355
AETNA
—
05
—
4712812-11
—
MI
01
—
556120704
BLUE CROSS BLUE SHIELD
MI
01
—
7000144091
PRIORITY HEALTH
—
01
—
P00198669
RR MEDICARE
—
Enumeration date
04/10/2006
Last updated
11/18/2008
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