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Organization

JAMESTOWN PRIMARY CARE LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WOLF-DIETER KRAHN MD (PHYSICIAN/PARTNER)
(716) 483-6700
Entity
Organization

Contact information

Practice address
17 SHERMAN ST, SUITE 2100, JAMESTOWN, NY 14701-7080
(716) 665-8184
(716) 487-2353
Mailing address
17 SHERMAN ST, SUITE 2100, JAMESTOWN, NY 14701-7080
(716) 665-8184
(716) 664-7275

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03247005
NY
Enumeration date
07/11/2006
Last updated
10/14/2014
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