Individual
MATTHEW LANE KRAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
691 STATE ROUTE 181, CRESTLINE, OH 44827-9608
(419) 612-2111
Mailing address
691 STATE ROUTE 181, CRESTLINE, OH 44827-9608
(419) 612-2111
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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