Kretzschmar, Frederick Joseph

Kretzschmar, Frederick Joseph is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Kretzschmar, Frederick Joseph can be contacted via phone (415) 925-7174.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904
Fax: (415) 898-0870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X G49874 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G49874 California

Profile Details

NPI number 1245348861
LBN Legal business name Kretzschmar, Frederick Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 12th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245348861 NPPES
California MEDICAID 00G498740

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