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Individual

ADAM KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 FISHER ST, BILOXI, MS 39534-2508
(228) 376-2273
Mailing address
350 MILL STONE RD, CHESAPEAKE, VA 23322-4345

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101268123
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101268123
VIRGINIA MEDICAL LICENSE
VA
Enumeration date
03/23/2018
Last updated
08/15/2022
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