NPI 1235432576

Geremiah Stephen Krause, PAC

Practitioner Physician Assistant Mukwonago, WI

Practice location

Address: 240 Maple Ave Prohealth Care Medical Associates INC., Mukwonago, WI 53149-8475
Phone: (262) 928-1900

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3264 (WI)

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Registry record

NPI: 1235432576
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Dec 2010
Record last updated: 3 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.