Max O Krucoff, MD
Neurological Surgery in Milwaukee, WI. Individual provider (NPI-1).
NPI number1417216201
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1417216201
- Entity type
- Individual (NPI-1)
- Name
- Mr. Max O Krucoff
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2012
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | 73924 | WI | Yes |
Practice location
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-5400 · Fax 414-955-0115
Mailing address
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-805-5400 · Fax 414-955-0115
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