Individual
CALEB JAMES KRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 233-2340
Mailing address
1559 DOVER DR, WAUKESHA, WI 53186-6389
(262) 685-8215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11871-24
WI
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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