Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 5901002174 | MI |
N | 222Z00000X | Podiatrist | 5901002174 | MI |
N | 111NR0200X | Radiology | 5901002174 | MI |
N | 213ER0200X | Radiology | 5901002174 | MI |
N | 2081S0010X | Sports Medicine | 5901002174 | MI |
N | 213ES0000X | Sports Medicine | 5901002174 | MI |
Y | 213ES0103X | Foot & Ankle Surgery | 5901002174 | MI |
NPI | 1750509691 |
---|---|
Provider Name | Dr. Kristopher W Krannitz |
First Address | Cadillac, MI 49601 |
Second Address | Cadillac, MI 49601-2373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 03/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144901 | PRIORITY HEALTH (01) | MI |
4858317570 | BLUE CROSS (01) | MI |
5175055 | (05) | MI |
5175073 | (05) | MI |