Organization
KENNETH N KRUTSCH MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN A PIFF (OFFICE MANAGER)
(715) 682-3426
Entity
Organization
Contact information
Practice address
2101 BEASER AVE, ANNEX A, ASHLAND, WI 54806-3638
(715) 682-3426
(715) 682-3442
Mailing address
2101 BEASER AVE, ANNEX A, ASHLAND, WI 54806-3638
(715) 682-3426
(715) 682-3442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19044-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30233600
—
WI
Enumeration date
09/14/2007
Last updated
09/14/2007
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