Provider Demographics
NPI:1407001639
Name:KRAMER, MARTA KARYN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:KARYN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:KARYN
Other - Last Name:WINDSCHANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1428 2ND AVE NORTH
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501
Mailing Address - Country:US
Mailing Address - Phone:515-955-5430
Mailing Address - Fax:515-955-1453
Practice Address - Street 1:1428 2ND AVE NO.
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501
Practice Address - Country:US
Practice Address - Phone:515-955-5430
Practice Address - Fax:515-955-1453
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA14270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist