Provider Demographics
NPI:1104905587
Name:KRYGER, ZOL BUER (MD)
Entity type:Individual
Prefix:DR
First Name:ZOL
Middle Name:BUER
Last Name:KRYGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ALISO RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93924-9442
Mailing Address - Country:US
Mailing Address - Phone:312-654-0296
Mailing Address - Fax:
Practice Address - Street 1:32 ALISO RD
Practice Address - Street 2:
Practice Address - City:CARMEL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93924-9442
Practice Address - Country:US
Practice Address - Phone:312-654-0296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA97742208200000X
IL208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery