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NPI Code Detail

MEDICARE: ZACHARY JON KRUEGER APNP

MEDICARE:   ZACHARY JON KRUEGER  APNP
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
1363L00000XNurse Practitioner13097-33WI

General Provider Information

NPI Number : 1568182889
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY JON KRUEGER APNP
Provider Business Mailing Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3575
Country : US
Telephone Number : 920-433-8586
Fax Number :
Provider Business Practice Location Address
First Line : 835 S VAN BUREN ST
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-3575
Country : US
Telephone Number : 920-433-8586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 03/06/2026

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Directions to “ ZACHARY JON KRUEGER APNP” Practice Location

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