Individual
DR. DAN F. KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4848
(920) 288-4956
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-159139
IL
2085R0202X
Diagnostic Radiology Physician
42291
CO
2085R0202X
Diagnostic Radiology Physician
Primary
64739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100050366
—
WI
05
—
86678353
—
CO
Enumeration date
08/10/2006
Last updated
11/27/2023
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