Individual
JENNA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036158813
IL
207Q00000X
Family Medicine Physician
Primary
81054-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
05/19/2023
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