EDITHA A KRUEGER


Address: 424 E Wisconsin Ave, Appleton, WI 54911-4860
Phone: 9207395642

EDITHA A KRUEGER (NPI# 1093759185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093759185
Entity Type Individual
Full Name EDITHA A KRUEGER
Credential M.D.
Practice Address 424 E Wisconsin Ave
Appleton
WI 54911-4860
Practice Telephone 9207395642
Practice Fax Number 9209680259
Mailing Telephone 9207395642
Mailing Fax Number 9209680259
Enumeration Date 2006-06-16
Last Update Date 2007-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
45763-020 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 34407000 05

Office Location

Street Address 424 E WISCONSIN AVE
City APPLETON
State WI
Zip Code 54911-4860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942425590 Susan Sung Radiology 424 E Wisconsin Ave, Appleton, WI 54911-4860 2007-04-16
1457375016 James Alfred Pellegrini Radiology 424 E Wisconsin Ave, Appleton, WI 54911-4860 2006-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912545633 Brotherly Love, LLC Day Training, Developmentally Disabled Services 1513 E Frances St, Appleton, WI 54911 2019-12-12
1952952129 Eagle Point Senior Living Inc Assisted Living Facility 995 East John Street, Appleton, WI 54911 2019-09-27
1619524766 University Rx LLC Pharmacy 133 E College Ave, Appleton, WI 54911 2019-08-23
1174080063 Shayla Russell Counselor Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 2019-02-27
1871086645 Megan Kilsdonk Health Educator 1604 N Meade St, Appleton, WI 54911 2018-06-07
1871085480 Tanya Lynn Vickery Social Worker 410 S. Elm St., Appleton, WI 54911 2018-05-31
1013407501 Teri G Metropulos Counselor 229 S. Morrison, Appleton, WI 54911 2018-05-10
1093211211 Bonnie Anne Korytkowski Student in an Organized Health Care Education/Training Program 229 S. Morrison Street, Appleton, WI 54911 2018-04-05
1639673940 Brett Follett Psychologist 401 S. Elm St., Appleton, WI 54911 2018-03-21
1700202892 Brian Withrow Counselor 607 West 7th St., Appleton, WI 54911 2014-03-13
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891888269 Michael E Ray Radiology 900 E Grant, Appleton, WI 54911-3487 2006-09-30
1407941909 Radiology Associates of Appleton, S.c. Radiology 1818 N Meade St, Appleton, WI 54911-3454 2006-10-03
1669582532 Carol Marie Grabowski Radiology 3925 N Gateway Dr, Appleton, WI 54913-7863 2006-08-30
1841229093 Radiology Associates of Appleton, S.c. Radiology 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 2006-07-01
1912944760 Radiation Oncology Specialists, Sc Radiology 1506 S Oneida St, Appleton, WI 54915 2006-06-01
1689628901 Robert Kohl Radiology 1506 S Oneida St, Appleton, WI 54915-1305 2006-05-20
1962487512 Nathan Daryl Munson Radiology 900 E Grant St, Appleton, WI 54911-3487 2005-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922652510 Sangjune Lee Radiology 710 Ridge St Apt 207, Madison, WI 53705-3641 2019-07-31
1225456981 John Martin Floberg Radiology 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 2014-03-31
1669815569 Joshua Knute Elson Radiology 6811 118th Ave, Kenosha, WI 53142 2013-04-10
1154651727 Matthew Edward Witek Radiology 309 W Johnson St Apt 714, Madison, WI 53703-3553 2010-01-05
1558598441 Eva Christensen Radiology 11516 N Port Washington Rd, Mequon, WI 53092-3441 2009-06-17
1265687024 Marcia Js Richards Radiology 675 Park Cir, Elm Grove, WI 53122-2556 2008-11-20
1336187251 Laura B Ulmer Radiology 3809 Spring St, Racine, WI 53405-1667 2006-06-03
1558318782 Linda Gemer Radiology 1277 Hickory Hill Dr, Green Bay, WI 54304-2363 2006-05-31
1609822774 Darryl R Barton Radiology 215 N 28th Ave, Wausau, WI 54401-4100 2006-05-26
1760445209 Richard A Steeves Radiology 6958 Applewood Dr, Madison, WI 53719-4902 2006-04-07
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City APPLETON
Zip Code 54911

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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