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NPI Code Detail

MEDICARE: JOANNE M KRIEGE MD

MEDICARE: JOANNE M KRIEGE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology Physician30435-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033152061
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE M KRIEGE MD
Provider Business Mailing Address
First Line : 1626 TUTTLE ST
Second Line :
City : BARABOO
State : WI
Zip : 53913-1501
Country : US
Telephone Number : 608-355-2033
Fax Number : 608-355-6820
Provider Business Practice Location Address
First Line : 1626 TUTTLE ST
Second Line :
City : BARABOO
State : WI
Zip : 53913-1501
Country : US
Telephone Number : 608-355-2033
Fax Number : 608-355-6820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 11/03/2021

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Directions to “ JOANNE M KRIEGE MD” Practice Location

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