Individual
NATHAN PHILLIP KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
Mailing address
14233 W VIA MANANA, SUN CITY WEST, AZ 85375-2238
(928) 503-4336
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001603
WI
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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