Individual
JAY H KRACHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB NINTH FLOOR, CLINIC 9A, MINNEAPOLIS, MN 55455-0356
(612) 625-4400
Mailing address
420 DELAWARE ST SE MMC 493, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-4400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35721
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055522
—
MT
01
—
0134012
PREFERRED ONE
MN
01
—
08-00043
MEDICA-PRIMARY
MN
01
—
0825404
MEDICA-CHOICE
MN
01
—
089169
FAIRVIEW
MN
05
—
0906420
—
IA
01
—
101324
UCARE
MN
01
—
2T514KR
BCBS
MN
01
—
768207
ARAZ
—
01
—
HP13734
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
07/08/2007
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