Individual
EMILY ELIZABETH KRODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 S CREASY LN STE 100A, LAFAYETTE, IN 47905-5206
(765) 420-5800
(765) 420-5801
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01081039A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01081039A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019190
—
IN
01
—
M147140151
MEDICARE PTAN
IN
Enumeration date
07/07/2010
Last updated
03/04/2026
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