Doctor Name: | MICHAEL D KRAUSS |
NPI Number: | 1922095769 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01037755A |
Business Practice Address: | 1411 S Creasy Ln Suite 120 Lafayette, IN - 479057438 |
Business Phone Number: | 7654474165 |
Business Fax Number: | 7654475939 |
Mailing Address: | Po Box 4699, LAFAYETTE |
State: | IN |
Postal Code: | 479034699 |
Phone Number: | 7654492732 |
Fax Number: | 7654491196 |
NPI Enumeration Date: | 10/05/2005 |
NPI Last Update Date: | 02/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01037755A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |