Individual
JAMES R KRIEGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5300 52ND ST, KENOSHA, WI 53144-2310
(262) 658-8119
(262) 658-8261
Mailing address
5300 52ND ST, KENOSHA, WI 53144-2310
(262) 658-8119
(262) 658-8261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1814
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38413700
—
WI
Enumeration date
05/27/2006
Last updated
07/08/2007
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