Individual
NOEL KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
770 N 12TH ST, MILWAUKEE, WI 53233-2203
(414) 288-6303
Mailing address
945 N 12TH ST STE 1100, MILWAUKEE, WI 53233-1305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
317239
WI
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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