MEDICARE: JOSEPH A KRENZER DO

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MED-PHYS-LIC-143621	MT
2	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	75962	WI

General Provider Information

NPI Number	:	1699269753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A KRENZER DO

Provider Business Mailing Address
First Line	:	18 YARROW CIR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-4421
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 YARROW CIR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53719-4421
Country	:	US
Telephone Number	:	406-690-2019
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	04/07/2026

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