MEDICARE: RYAN M KRAMER DC

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	111N00000X	Chiropractor	007003	IA

General Provider Information

NPI Number	:	1679579395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN M KRAMER DC

Provider Business Mailing Address
First Line	:	4150 WESTOWN PKWY STE 201
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5901
Country	:	US
Telephone Number	:	515-267-9956
Fax Number	:	515-267-9981

Provider Business Practice Location Address
First Line	:	4150 WESTOWN PKWY STE 201
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-5901
Country	:	US
Telephone Number	:	515-267-9956
Fax Number	:	515-267-9981

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/27/2007

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Directions to “ RYAN M KRAMER DC” Practice Location

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