MICHAEL L KRUK MD NPI 1679524623

NPI Information

  • NPI: 1679524623
  • Provider Name: MICHAEL L KRUK, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 740 REENA AVE
    FORT ATKINSON, WI
    ZIP 53538
  • Phone: (920) 563-0888

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NPI Details

Michael L Kruk, MD is a family medicine in Fort Atkinson, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael L Kruk, MD NPI is 1679524623. 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:

740 REENA AVE
FORT ATKINSON, WI
ZIP 53538-145
Phone: (920) 563-0888
Fax: (920) 568-3516

The enumeration date for this NPI number is 5/15/2006 and was last updated on 4/30/2014.

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
1207Q00000XFamily Medicine31765-020WISCONSINYes

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 Other Provider Identifier Issuer
1001454375MEDICARE PINWISCONSIN
21000337OTHERWISCONSINPHYSICIANS PLUS
3K400131248MEDICARE PINWISCONSIN
4080179062MEDICARE PINWISCONSIN
531765OTHERWISCONSINUNITED HEALTHCARE

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: 3/30/2025

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