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Individual

DAVID P KRAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8232 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2095
(763) 577-1877
(763) 577-1887
Mailing address
8232 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2095
(763) 577-1877
(763) 577-1887

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35945
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0907745
MEDICA
MN
01
115118
UCARE
MN
01
200033761
RAILROAD MEDICARE
MN
01
23959
ARAZ
MN
01
38Q21KR
BLUE CROSS BLUE SHIELD
MN
05
485072600
MN
01
936130496008
PREFERRED ONE
MN
01
HP13737
HEALTH PARTNERS
MN
Enumeration date
05/12/2006
Last updated
12/17/2012
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