Individual
BRANDON KROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 490-9046
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000193980
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
244941
WI
Other
Enumeration date
10/18/2018
Last updated
03/27/2019
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