Individual provider · Type 1 NPI

Elaine Marie Kruswicki

Student in an Organized Health Care Education/Training Program · Brookfield, WI

NPI number 1063146926 Active

Practice location

3505 N 124th St
Brookfield, WI 53005-2489

Mailing address

120 N 66th St
Milwaukee, WI 53213-4042

Other practice locations

  • 120 N 66th St, Milwaukee, WI 53213-4042 · (715) 530-1610

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063146926

Elaine Marie Kruswicki's National Provider Identifier is 1063146926, issued on Jul 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brookfield, WI. The record was last updated on Jul 14, 2022.