Provider Demographics
NPI:1093737546
Name:KRISCHER, MICHAEL SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:KRISCHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12881 COUNTRY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-2746
Mailing Address - Country:US
Mailing Address - Phone:305-466-4127
Mailing Address - Fax:954-680-3841
Practice Address - Street 1:12881 COUNTRY GLEN DR
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-2746
Practice Address - Country:US
Practice Address - Phone:305-466-4127
Practice Address - Fax:954-680-3841
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2880213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340157000Medicaid
FL65682BMedicare ID - Type Unspecified
FLU82093Medicare UPIN
FL340157000Medicaid