MEDICARE: DR. ZOL BUER KRYGER 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
1	208200000X	Plastic Surgery Physician	A97742	CA
2	208200000X	Plastic Surgery Physician		IL

General Provider Information

NPI Number	:	1104905587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZOL BUER KRYGER MD

Provider Business Mailing Address
First Line	:	32 ALISO RD
Second Line	:
City	:	CARMEL VALLEY
State	:	CA
Zip	:	93924-9442
Country	:	US
Telephone Number	:	312-654-0296
Fax Number	:

Provider Business Practice Location Address
First Line	:	32 ALISO RD
Second Line	:
City	:	CARMEL VALLEY
State	:	CA
Zip	:	93924-9442
Country	:	US
Telephone Number	:	312-654-0296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	07/08/2007

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