Individual
DR. JORDYN J KREUTZFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
81893
WI
390200000X
Student in an Organized Health Care Education/Training Program
R78045
AZ
Other
Enumeration date
05/01/2020
Last updated
06/08/2023
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