Organization
BR KRYGOWSKI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R KRYGOWSKI MD (PROPRIETOR)
(715) 344-1513
Entity
Organization
Contact information
Practice address
1840 POST RD, SUITE 7, PLOVER, WI 54467-2832
(715) 344-1513
(715) 344-2261
Mailing address
1840 POST RD, SUITE 7, PLOVER, WI 54467-2832
(715) 344-1513
(715) 344-2261
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
21353020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21353020
LICENSE
WI
Enumeration date
09/17/2006
Last updated
08/22/2020
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