Individual
JEFFREY KREUTZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1114 LAKE ST, MARBLEHEAD, OH 43440-2034
(419) 341-9208
Mailing address
1114 LAKE ST, MARBLEHEAD, OH 43440-2034
(419) 341-9208
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.001863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
OH
Enumeration date
03/19/2015
Last updated
03/19/2015
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