| Kreptowski Family Practice Llc | |
|
6509 Frank Ave Nw North Canton OH 44720-7265 | |
| (330) 244-0480 | |
| (330) 244-2230 |
| Full Name | Kreptowski Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6509 Frank Ave Nw, North Canton, Ohio |
| Authorized Official Name and Position | Dianne Kreptowski (OWNER, PHYSICIAN) |
| Authorized Official Contact | 3302440480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kreptowski Family Practice Llc 6509 Frank Avenue Nw North Canton OH 44720 Ph: (330) 244-0480 | Kreptowski Family Practice Llc 6509 Frank Ave Nw North Canton OH 44720-7265 Ph: (330) 244-0480 |
| NPI Number | 1922277656 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 03/24/2016 |
| Medicare PECOS PAC ID | 4486951423 |
|---|---|
| Medicare Enrollment ID | O20160318000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922277656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-6419K (Ohio) | Primary |
| Provider Name | Dianne Kreptowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679681282 PECOS PAC ID: 4587622311 Enrollment ID: I20041228000152 |
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