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NPI Code Detail

MEDICARE: ANNE SCHROEDER KRAFSIG MD

MEDICARE: ANNE SCHROEDER KRAFSIG 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
1207W00000XOphthalmology Physician35960SC
2208600000XSurgery PhysicianMMD.35960 LLSC
3207W00000XOphthalmology Physician01080522AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447690896
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE SCHROEDER KRAFSIG MD
Provider Business Mailing Address
First Line : 3301 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5529
Country : US
Telephone Number : 260-422-3937
Fax Number :
Provider Business Practice Location Address
First Line : 3301 LAKE AVE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-5529
Country : US
Telephone Number : 260-422-3937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2013
Last Update Date : 10/02/2018

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Directions to “ ANNE SCHROEDER KRAFSIG MD” Practice Location

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