Provider Demographics
NPI:1689801102
Name:KREYER, JEFFREY ALAN (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ALAN
Last Name:KREYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:N2541 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:MI
Mailing Address - Zip Code:49870-2266
Mailing Address - Country:US
Mailing Address - Phone:906-774-0330
Mailing Address - Fax:906-774-0455
Practice Address - Street 1:1711 S STEPHENSON AVE
Practice Address - Street 2:STE 305
Practice Address - City:IRON MOUNTAIN
Practice Address - State:MI
Practice Address - Zip Code:49801-3639
Practice Address - Country:US
Practice Address - Phone:906-774-0330
Practice Address - Fax:906-774-0455
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2014-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301104607208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery