Individual
JON P KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
(262) 741-2180
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7285
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100051802
—
WI
01
—
7285-33
APNP
WI
Enumeration date
09/30/2016
Last updated
10/20/2023
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