Individual
DANIEL NELSON KRAGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 N 1200 W, MIDDLEBURY, IN 46540-9372
(574) 825-3888
(574) 825-3999
Mailing address
501 S 5TH ST, GOSHEN, IN 46526-3927
(574) 534-6159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045077A
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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