Provider Demographics
NPI:1700943610
Name:KRANTZ, CURTIS KARL (DC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:KARL
Last Name:KRANTZ
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 1:3187 MUIR FIELD RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-2508
Mailing Address - Country:US
Mailing Address - Phone:608-848-8679
Mailing Address - Fax:608-848-8680
Practice Address - Street 1:3187 MUIR FIELD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2508
Practice Address - Country:US
Practice Address - Phone:608-848-8679
Practice Address - Fax:608-848-8680
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI0000 155510Medicare PIN