Individual
KORI K KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S WISCONSIN AVE, STRATFORD, WI 54484-9692
(715) 687-4211
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42467
WI
208000000X
Pediatrics Physician
42467
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34422500
—
WI
Enumeration date
09/25/2006
Last updated
10/26/2020
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