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Contact Information

KAMIL KRUKOWSKI, DO
252 MCHENRY ST
BURLINGTON, WI53105-1828
 Phone: 262-767-6484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KAMIL KRUKOWSKI · (Male)

NPI Number 1366703563
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/04/2012
Last updated 08/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101019677
  • WI License # 63604
  • WI License # 63604-21
  • WI Medicaid 1366703563
Hospital affiliation(s)
  • AURORA MEMORIAL HSPTL BURLINGTON - (Acute Care)
    252 MCHENRY ST
    BURLINGTON, WI 53105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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