Provider Demographics
NPI:1336120252
Name:KRANZ, GALE L (DC)
Entity Type:Individual
Prefix:DR
First Name:GALE
Middle Name:L
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 1:1310 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5007
Mailing Address - Country:US
Mailing Address - Phone:810-235-1200
Mailing Address - Fax:
Practice Address - Street 1:1310 W COURT ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5007
Practice Address - Country:US
Practice Address - Phone:810-235-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
950B55059OtherBCBS
2301002862OtherMICH LICENSE #
950B55059OtherBCBS
OB550598952Medicare ID - Type Unspecified