Individual
MARTIN HANS KRAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 HURRICANE LN, SPINE INSTITUTE OF NEW ENGLAND/FAHC, WILLISTON, VT 05495
(802) 847-9005
(802) 847-6278
Mailing address
99 CROOKED CREEK RD, COLCHESTER, VT 05446-7574
(802) 656-4472
(802) 656-4247
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
042-0006594
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005260
—
VT
05
—
00719902
—
NY
Enumeration date
07/09/2006
Last updated
07/08/2007
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