Individual
DR. SEAN MICHAEL KRAEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6354 WALKER LANE, SUITE 300, ALEXANDRIA, VA 22310-3252
(703) 810-5210
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
S2621
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410641101
—
TX
Enumeration date
04/16/2013
Last updated
07/21/2023
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