Individual
DR. ADAM BLAINE KRETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.135351
IL
207L00000X
Anesthesiology Physician
MD61513824
WA
207L00000X
Anesthesiology Physician
Primary
S3009
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD61513824
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2280440
—
WA
Enumeration date
03/14/2009
Last updated
08/15/2024
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