Individual
MICHAEL L KRAVETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N 67TH AVE, GLENDALE, AZ 85304-1000
(623) 878-8800
(623) 878-5254
Mailing address
13460 N 67TH AVE, GLENDALE, AZ 85304-1000
(623) 878-8800
(623) 878-5254
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20238
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048406
—
AZ
01
—
AZ0895230
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
07/24/2006
Last updated
10/23/2007
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