Individual
DR. TRACI ELIZABETH KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8485
(920) 926-8908
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
55345
MN
208600000X
Surgery Physician
Primary
938-320
WI
Other
Enumeration date
11/21/2006
Last updated
06/22/2022
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