Individual
DR. TODD VINCENT KREITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4815 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1207
(304) 768-4567
(304) 768-2277
Mailing address
4815 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1207
(304) 768-4567
(304) 768-2277
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
58.001750
OH
Other
Enumeration date
05/15/2007
Last updated
09/12/2012
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