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Individual

DR. KRISTOPHER W KRANNITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8805 PINE RIDGE DRIVE, CADILLAC, MI 49601-2373
(231) 779-3668
(231) 779-4496
Mailing address
8805 PINE RIDGE DRIVE, CADILLAC, MI 49601
(231) 779-3668
(231) 779-4496

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002174
MI
213ER0200X
Radiology Podiatrist
5901002174
MI
213ES0000X
Sports Medicine Podiatrist
5901002174
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002174
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
144901
PRIORITY HEALTH
MI
01
4858317570
BLUE CROSS
MI
05
5175055
MI
05
5175073
MI
Enumeration date
04/24/2007
Last updated
03/03/2008
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