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Individual

DR. MATTHEW DAVID KRASUCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1720 W FLORIST AVE UNIT 203, GLENDALE, WI 53209-3800
(414) 649-7909
Mailing address
N54W26176 BODEN LN, SUSSEX, WI 53089-4269
(630) 995-1130

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54586-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
54586-020
WI

Other

Enumeration date
04/25/2008
Last updated
03/15/2024
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