Individual
BRYAN J KRAJICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
(712) 396-7810
(712) 396-4145
Mailing address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
(712) 396-7810
(712) 396-4145
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
25396
NE
207RP1001X
Pulmonary Disease Physician
Primary
38710
IA
207RP1001X
Pulmonary Disease Physician
45765
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103455300
—
MN
Enumeration date
01/19/2006
Last updated
10/21/2024
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