Individual
DYLAN JOSEPH KRATOCHVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9393
Mailing address
300 S BRUCE ST, MARSHALL, MN 56258-1934
(507) 537-9393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R050448
SD
363LF0000X
Family Nurse Practitioner
Primary
9782
MN
Other
Enumeration date
07/07/2022
Last updated
12/06/2022
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