Provider Demographics
NPI:1942518394
Name:FLADUNG, KRAIG (BC HID)
Entity Type:Individual
Prefix:
First Name:KRAIG
Middle Name:
Last Name:FLADUNG
Suffix:
Gender:M
Credentials:BC HID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 HORIZON AVE
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-1949
Mailing Address - Country:US
Mailing Address - Phone:763-271-4000
Mailing Address - Fax:
Practice Address - Street 1:538 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8663
Practice Address - Country:US
Practice Address - Phone:763-271-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2699237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist