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Individual

MISS MICHELLE LYNNE KRENZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PA-C

Contact information

Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(301) 956-4821
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2950
(301) 956-4821

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0001118
MD
363AM0700X
Medical Physician Assistant
Primary
C0010010
MD

Other

Enumeration date
01/05/2020
Last updated
08/25/2025
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