Individual
TRAVIS KRUMHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4608 HARRIET AVE, MINNEAPOLIS, MN 55419-5414
(612) 280-1658
Mailing address
4608 HARRIET AVE, MINNEAPOLIS, MN 55419-5414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
189321-30
WI
163W00000X
Registered Nurse
R 151052-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
103364
MN
Other
Enumeration date
07/27/2014
Last updated
10/01/2014
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