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NPI Code Detail

MEDICARE: TIFFANY DANIELLE KRATZER MD

MEDICARE:   TIFFANY DANIELLE KRATZER  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
1208000000XPediatrics Physician127288NC
22080P0206XPediatric Gastroenterology Physician2008-01160NC

General Provider Information

NPI Number : 1801924030
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY DANIELLE KRATZER MD
Provider Business Mailing Address
First Line : PO BOX 344
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27102-0344
Country : US
Telephone Number : 336-716-2255
Fax Number :
Provider Business Practice Location Address
First Line : MEDICAL CENTER BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 06/05/2026

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Directions to “ TIFFANY DANIELLE KRATZER MD” Practice Location

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