Organization
KRUEGER FAMILY CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DENMAN KRUEGER D.C. (CHIROPRACTOR/PRESIDENT)
(920) 236-6000
Entity
Organization
Contact information
Practice address
3180 OMRO RD, OSHKOSH, WI 54904-9311
(920) 236-6000
(920) 236-6006
Mailing address
3180 OMRO RD, OSHKOSH, WI 54904-9311
(920) 236-6000
(920) 236-6006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000035991
MEDICARE PTAN
WI
Enumeration date
07/16/2007
Last updated
10/05/2015
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