Individual
DR. DONALD KURT WRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
8815 LAKESHORE DR, PLEASANT PRAIRIE, WI 53158-4724
(126) 269-4965
(126) 269-7321
Mailing address
8815 LAKESHORE DR, PLEASANT PRAIRIE, WI 53158-4724
(126) 269-4965
(126) 269-7321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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