Individual
MADISON KRUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
(414) 488-1111
Mailing address
10500 W LOOMIS RD STE 130, FRANKLIN, WI 53132-8030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5229
SC
363A00000X
Physician Assistant
Primary
7854-23
WI
Other
Enumeration date
02/29/2024
Last updated
08/20/2024
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