Individual
DR. KENT A. KRETCHMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 421-7430
Mailing address
3410 STANLEY ST, P.O. BOX 108, STEVENS POINT, WI 54481-1325
(715) 344-1234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23457
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30387800
—
WI
Enumeration date
06/18/2006
Last updated
02/07/2008
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