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NPI Code Detail

MEDICARE: MICHAEL E KRUTCHIK DO

MEDICARE: MICHAEL E KRUTCHIK DO
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
1207N00000XDermatology Physician80553FL

General Provider Information

NPI Number : 1609865161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E KRUTCHIK DO
Provider Business Mailing Address
First Line : 8220 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6639
Country : US
Telephone Number : 727-841-8505
Fax Number : 727-846-0561
Provider Business Practice Location Address
First Line : 8220 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6639
Country : US
Telephone Number : 727-841-8505
Fax Number : 727-846-0561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 04/20/2009

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Directions to “ MICHAEL E KRUTCHIK DO” Practice Location

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