Individual
DR. MARK R KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2253 W MASON ST, GREEN BAY, WI 54303-4706
(920) 327-7000
Mailing address
2864 SUSSEX RD, GREEN BAY, WI 54311-7475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30436-21
WI
207Q00000X
Family Medicine Physician
30436-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30049600
—
WI
Enumeration date
08/13/2006
Last updated
03/18/2026
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