| Organization Name: | KREUTZMANN MEDICAL CLINIC |
| NPI Number: | 1588804041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J KREUTZMANN (OWNER) |
| Mailing Address: | 359 James St Ozark |
| State: | AL US |
| Postal Code: | 363602014 |
| Phone Number: | 3347747572 |
| Fax Number: | 3347746237 |
| NPI Enumeration Date: | 02/24/2009 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 21379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |