Provider Demographics
NPI:1598804049
Name:KRANZ, PERRY NICHOLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:NICHOLAS
Last Name:KRANZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 LEXINGTON AVE N
Mailing Address - Street 2:
Mailing Address - City:ARDEN HILLS
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8017
Mailing Address - Country:US
Mailing Address - Phone:651-484-1000
Mailing Address - Fax:651-484-2663
Practice Address - Street 1:3553 LEXINGTON AVE N
Practice Address - Street 2:
Practice Address - City:ARDEN HILLS
Practice Address - State:MN
Practice Address - Zip Code:55126-8017
Practice Address - Country:US
Practice Address - Phone:651-484-1000
Practice Address - Fax:651-484-2663
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN24692KROtherBCBS
MN230436OtherACN
MN411489565OtherHEALTH SEVICE MANAGEMENT
MN24692KROtherBCBS