John Krehlik, Md, Inc | |
9309 Glacier Hwy B301 Juneau AK 99801-9306 | |
(907) 789-6766 | |
(907) 789-6703 |
Full Name | John Krehlik, Md, Inc |
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Speciality | Internal Medicine |
Location | 9309 Glacier Hwy, Juneau, Alaska |
Authorized Official Name and Position | John Krehlik (M.D./OWNER) |
Authorized Official Contact | 9077896766 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John Krehlik, Md, Inc 9309 Glacier Hwy B301 Juneau AK 99801-9306 Ph: (907) 789-6766 | John Krehlik, Md, Inc 9309 Glacier Hwy B301 Juneau AK 99801-9306 Ph: (907) 789-6766 |
NPI Number | 1659560704 |
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Provider Enumeration Date | 10/15/2007 |
Last Update Date | 03/25/2010 |
Medicare PECOS PAC ID | 5890694509 |
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Medicare Enrollment ID | O20031231000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659560704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3059 (Alaska) | Primary |
Provider Name | John M Krehlik |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255368866 PECOS PAC ID: 4789583493 Enrollment ID: I20100302000304 |
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