Individual
GLENN J KRUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 N WATER ST, EVANSVILLE, WI 53536-1152
(608) 882-5170
(608) 882-6532
Mailing address
10 N WATER ST, EVANSVILLE, WI 53536-1152
(608) 882-5170
(680) 882-6532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
183-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026026
PHYSICIANS PLUS
WI
01
—
2981
DEAN HEALTH INSURANCE
WI
05
—
42909900
—
WI
Enumeration date
05/10/2006
Last updated
04/30/2014
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