STEVEN T KRUECKEBERG MD NPI 1821094079

NPI Information

NPI: 1821094079
Provider Name: STEVEN T KRUECKEBERG, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
Get Directions

Steven T Krueckeberg, MD is a diagnostic radiology radiology in La Crosse, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Steven T Krueckeberg, MD NPI is 1821094079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300

The NPI 1821094079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	31047	MINNESOTA	No
2	2085R0202X	Radiology	Diagnostic Radiology	22916	IOWA	No
3	2085R0202X	Radiology	Diagnostic Radiology	29728	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B84991	MEDICARE UPIN
2	30826800	MEDICAID	WISCONSIN
3	0486	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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