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Individual

GEREMIAH STEPHEN KRAUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900
Mailing address
240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC., MUKWONAGO, WI 53149-8475
(262) 928-1900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3264
WI

Other

Enumeration date
12/08/2010
Last updated
07/03/2014
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