Individual
LISA MARIE BAUMANN KREUZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6808
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49665
MN
207RH0003X
Hematology & Oncology Physician
Primary
60109
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831316678
—
WI
05
—
462482100
—
MN
01
—
P00632064
RAILROAD MEDICARE
MN
Enumeration date
04/20/2007
Last updated
10/01/2020
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