Individual
BRUCE A. KRAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2323
(920) 623-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21498-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30196000
—
WI
Enumeration date
04/27/2006
Last updated
11/27/2023
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