Individual
DR. THOEDOER KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 E LAKE ST, HORICON, WI 53032-1246
(920) 485-4831
Mailing address
501 E LAKE ST, HORICON, WI 53032-1246
(920) 485-4831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3497
WI
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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