Individual
DR. LISA MARIE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 263-7540
(608) 662-4545
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2009013401
MO
207X00000X
Orthopaedic Surgery Physician
2016-00271
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
67384
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891923777
—
NC
05
—
NC2699
—
SC
Enumeration date
06/30/2009
Last updated
01/29/2021
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