Individual
KEITH ANTHONY KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-5538
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43376200
—
WI
Enumeration date
10/05/2005
Last updated
10/17/2017
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