Individual
JOHN D CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, #310, MILWAUKEE, WI 53215-3677
(414) 649-3990
(414) 649-3969
Mailing address
2901 W KINNICKINNIC RIVER PKWY, #310, MILWAUKEE, WI 53215-3677
(414) 649-3990
(414) 649-3969
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29322
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29322
STATE OF WI LICENSE
WV
05
—
B88253
—
WI
Enumeration date
01/10/2006
Last updated
11/29/2021
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