Individual
MATTHEW N KRAEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7100
Mailing address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42624
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30098700
—
WI
Enumeration date
09/13/2005
Last updated
12/11/2020
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