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
Fax: (414) 465-4606
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386619039 NPPES
Wisconsin MEDICAID 30511600

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