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Contact Information

MARK M KRAUSE, DPM
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8825
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MARK M KRAUSE · (Male)

NPI Number 1750341962
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/23/2006
Last updated 05/31/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1321
  • TX Medicaid 092733701
  • TX Other 0061CM BCBS OF TEXAS
Hospital affiliation(s)
  • FORT DEFIANCE INDIAN HOSPITAL - (Acute Care)
    PO BOX 649
    FORT DEFIANCE, AZ 86504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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