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NPI Code Detail

MEDICARE: DR. MICHELLE BARRAZA KRUEGER NMD

MEDICARE:  DR. MICHELLE BARRAZA KRUEGER  NMD
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
1175F00000XNaturopath16-1579AZ

General Provider Information

NPI Number : 1568913812
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE BARRAZA KRUEGER NMD
Provider Business Mailing Address
First Line : 16601 N 40TH ST STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3353
Country : US
Telephone Number : 602-368-9211
Fax Number : 480-878-6994
Provider Business Practice Location Address
First Line : 16601 N 40TH ST STE 110
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-3353
Country : US
Telephone Number : 602-368-9211
Fax Number : 480-878-6994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2016
Last Update Date : 05/01/2025

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Directions to “ DR. MICHELLE BARRAZA KRUEGER NMD” Practice Location

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