Individual
DR. CHARLES EDWARD KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 SWIFT BLVD, SUITE 22, RICHLAND, WA 99352-3521
(509) 946-2340
(509) 946-2350
Mailing address
750 SWIFT BLVD, SUITE 22, RICHLAND, WA 99352-3521
(509) 946-2340
(509) 946-2350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020631
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206593
DEPT OF L AND I
WA
01
—
611588400
EEOICP
WA
01
—
P00297263
RAILROAD MEDICARE
WA
Enumeration date
09/24/2006
Last updated
04/26/2011
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