Susan H Kreckman, MD

NPI #1376527002 in Portage, Wisconsin

Provider Information

NPI Number: 1376527002
Entity Type: Individual
Name: Susan H Kreckman, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 6, 2005
Last Updated: Oct 14, 2011

Practice Location

Address: 2817 NEW PINERY RD.
Address 2: DIVINE SAVIOR HEALTHCARE, INC.
City: Portage
State: Wisconsin
ZIP Code: 53901-0387
Phone: (608) 745-4598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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