Individual
NATHANIEL S KREYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45565
MN
2086S0120X
Pediatric Surgery Physician
45565
MN
Other
Enumeration date
06/11/2006
Last updated
08/09/2012
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