Individual
TAMMY KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W3022 WEAVER RD, ELKHORN, WI 53121-4424
(262) 949-8114
Mailing address
W3022 WEAVER RD, ELKHORN, WI 53121-4424
(262) 949-8114
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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