Individual
DANA C KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 SHERMAN DRIVE, SUITE 1, ST JOHNSBURY, VT 05819
(802) 748-5041
(802) 748-5094
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
(802) 748-4540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009235
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1345
—
VT
01
—
G02070
MEDICARE PROVIDER NUMBER
VT
Enumeration date
04/13/2006
Last updated
03/15/2010
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