Individual
MRS. TAMMY JEAN KREUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1167 COUNTY ROAD C, PULASKI, WI 54162-9666
(920) 639-0095
Mailing address
1167 COUNTY ROAD C, PULASKI, WI 54162-9666
(920) 639-0095
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312468031
WI
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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