Kruk, Michael L

Kruk, Michael L is an individual health care provider with primary practice located at 740 Reena Ave , Fort Atkinson WI 53538-3145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kruk, Michael L can be contacted via phone (920) 563-0888.

Contact Information

Primary practice address
740 Reena Ave Fort Atkinson WI 53538-3145
Phone: (920) 563-0888
Fax: (920) 568-3516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31765-020 Wisconsin

Profile Details

NPI number 1679524623
LBN Legal business name Kruk, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Apr 30th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679524623 NPPES
Wisconsin Other 31765 UNITED HEALTHCARE
Wisconsin Other 1000337 UNITED HEALTHCARE

Popular Providers