Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 16095 | TN |
N | 208600000X | Surgeon | 16095 | TN |
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME0047328 | FL |
NPI | 1184692097 |
---|---|
Provider Name | Dr. Drew Alan Kreegel |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-9621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 19/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A98747 | (02) | TN |