Individual
EVAN M KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
(920) 729-7687
Mailing address
1305 W AMERICAN DR, NEENAH, WI 54956-1993
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125065866
IL
207T00000X
Neurological Surgery Physician
76808-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100206380
—
WI
Enumeration date
06/25/2014
Last updated
04/23/2024
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