| Kevin R Krueger, CRNA | |
|
240 Maple St, Woodruff, WI 54568-0470 | |
| (715) 356-8000 | |
| Not Available |
| Full Name | Kevin R Krueger |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 240 Maple St, Woodruff, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568403806 | NPI | - | NPPES |
| 43352700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 040079 (Wisconsin) | Secondary |
| 163W00000X | Registered Nurse | 86562-030 (Wisconsin) | Primary |
| Entity Name | Howard Young Medical Center Inc of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306898838 PECOS PAC ID: 4183519606 Enrollment ID: O20040922000345 |
| Entity Name | Gastrointestinal Associates S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760546949 PECOS PAC ID: 4385677814 Enrollment ID: O20050915000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin R Krueger, CRNA 240 Maple St, Po Box 470, Woodruff, WI 54568-0470 Ph: (715) 356-8000 | Kevin R Krueger, CRNA 240 Maple St, Woodruff, WI 54568-0470 Ph: (715) 356-8000 |
Donna V Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8989 Mid Lake Rd, Woodruff, WI 54568 Phone: 715-358-5564 |
Mrs. Christy Jo Semmerling, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10705 State Highway 70 E, Woodruff, WI 54568 Phone: 715-356-5174 |
Nancy A. Jensch, RN CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 240 Maple Street, Woodruff, WI 54568 Phone: 715-356-8153 Fax: 715-356-8228 |
Amy Lynn Nowak, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8814 Della Dr, Woodruff, WI 54568 Phone: 715-356-1684 |