Individual
JEFFREY JAMES KRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
145 S MARR ST, FOND DU LAC, WI 54935-4434
(920) 922-9000
(920) 922-9025
Mailing address
145 S MARR ST, FOND DU LAC, WI 54935-4434
(920) 922-9000
(920) 922-9025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1891-G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33352200
—
WI
Enumeration date
01/22/2007
Last updated
07/08/2007
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