Krawczyk, Konrad Walter
Krawczyk, Konrad Walter is an individual health care provider with primary practice located at 4600 W Loomis Rd Suite 130, Greenfield WI 53220-4858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Krawczyk, Konrad Walter can be contacted via phone (414) 389-4900.Contact Information
Primary practice address
4600 W Loomis Rd Suite 130
Greenfield WI 53220-4858
Phone: (414) 389-4900
Fax: (414) 465-4606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24557020 | Wisconsin |
Profile Details
NPI number | 1386619039 |
---|---|
LBN Legal business name | Krawczyk, Konrad Walter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Mar 22nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386619039 | NPPES |
Wisconsin | MEDICAID | 30511600 |
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