Individual
MARK R KRAKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 15TH AVE. W., WILLISTON, ND 58801-3821
(701) 774-7435
(701) 774-7479
Mailing address
3265 NW 87TH AVE., MIAMI, FL 33172
(952) 595-1301
(952) 942-3361
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
25MA05265300
NJ
207U00000X
Nuclear Medicine Physician
MD033369E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
12550
ND
2085R0202X
Diagnostic Radiology Physician
25MA05265300
NJ
2085R0202X
Diagnostic Radiology Physician
MD033369E
PA
2085R0202X
Diagnostic Radiology Physician
ME112875
FL
Other
Enumeration date
06/02/2006
Last updated
11/13/2012
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