Michele A. Kruckman RN, CLC
Lactation Consultant (Registered Nurse) in Madison, WI(View on Map)
Full Name
Michele A Kruckman RN, CLC
NPI Number
1609104959
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/25/2009
Specialties
(Taxonomies)Code
163WL0100X
163W00000X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
Wisconsin
License Number
207511
168199-030
Contact
Information
Purpose
Mailing
Location
Address
N1639 FJORD CIR
4410 REGENT ST
City
Prairie Du Sac
Madison
State
WI
WI
Postal Code
53578-9551
53705-4901
Country
US
US
Telephone Number
(608) 576-7894
(608) 233-9746
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/12/2014