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NPI Code Detail

MEDICARE: DR. HOLGER KRANICH M.D.

MEDICARE: DR. HOLGER KRANICH M.D.
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
1207R00000XInternal Medicine Physician30898AZ

General Provider Information

NPI Number : 1780660266
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLGER KRANICH M.D.
Provider Business Mailing Address
First Line : 2302 N 75TH AVE
Second Line : CIGNA MEDICAL GROUP, WESTRIDGE CENTER
City : PHOENIX
State : AZ
Zip : 85035-1216
Country : US
Telephone Number : 623-849-7500
Fax Number : 623-849-7785
Provider Business Practice Location Address
First Line : 2302 N 75TH AVE
Second Line : CIGNA MEDICAL GROUP, WESTRIDGE CENTER
City : PHOENIX
State : AZ
Zip : 85035-1216
Country : US
Telephone Number : 623-849-7500
Fax Number : 623-849-7785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 10/22/2010

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