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NPI Code Detail

MEDICARE: MS. SCEONE MAREN KRAAI PA-C

MEDICARE: MS. SCEONE MAREN KRAAI PA-C
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
1363A00000XPhysician Assistant5601005383MI

General Provider Information

NPI Number : 1861642621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SCEONE MAREN KRAAI PA-C
Provider Business Mailing Address
First Line : PO BOX 1848
Second Line :
City : MUSKEGON
State : MI
Zip : 49443-1848
Country : US
Telephone Number : 231-727-4444
Fax Number : 231-727-4571
Provider Business Practice Location Address
First Line : 5656 W US HIGHWAY 10
Second Line :
City : LUDINGTON
State : MI
Zip : 49431-2454
Country : US
Telephone Number : 231-843-2543
Fax Number : 231-843-2547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 11/13/2017

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Directions to “ MS. SCEONE MAREN KRAAI PA-C” Practice Location

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