Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35. 087148 | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | 4301100513 | MI |
NPI | 1063682425 |
---|---|
Provider Name | Dr. Kraig Alan Kristof |
First Address | Toledo, OH 43623-4231 |
Second Address | Toledo, OH 43623-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2008 |
Last Update Date | 12/08/2020 |