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NPI Code Detail

MEDICARE: JOEL D KRAKAUER MD

MEDICARE: JOEL D KRAKAUER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician000640NC

General Provider Information

NPI Number : 1093718827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL D KRAKAUER MD
Provider Business Mailing Address
First Line : 3515 GLENWOOD AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27612-4934
Country : US
Telephone Number : 919-781-5600
Fax Number : 919-782-6578
Provider Business Practice Location Address
First Line : 3515 GLENWOOD AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27612-4934
Country : US
Telephone Number : 919-781-5600
Fax Number : 919-782-6578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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