Individual provider · Type 1 NPI
Michelle Lynne Krenzke, ATC, PA-C
Medical Physician Assistant · Baltimore, MD
NPI number
1639718810
Active
Practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | A0001118 (MD) |
| Medical Physician Assistant Primary | 363AM0700X | C0010010 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1639718810
Michelle Lynne Krenzke, ATC, PA-C's National Provider Identifier is 1639718810, issued on Jan 5, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Aug 25, 2025.