MEDICARE: DR. MITCHELL DAVID 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	6173-12	WI

General Provider Information

NPI Number	:	1942067830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL DAVID KRAMER DC

Provider Business Mailing Address
First Line	:	836 WILLOW ST
Second Line	:
City	:	OMRO
State	:	WI
Zip	:	54963-9373
Country	:	US
Telephone Number	:	920-685-3015
Fax Number	:	920-685-3017

Provider Business Practice Location Address
First Line	:	836 WILLOW ST
Second Line	:
City	:	OMRO
State	:	WI
Zip	:	54963-9373
Country	:	US
Telephone Number	:	920-685-3015
Fax Number	:	920-685-3017

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

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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Directions to “ DR. MITCHELL DAVID KRAMER DC” Practice Location

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