Matthew David Krasucki in Sussex - Child & Adolescent Psychiatry
Matthew David Krasucki - NPI 1497920995
Matthew David Krasucki is a Child & Adolescent Psychiatry in Sussex, Wisconsin. Matthew David Krasucki practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Matthew David Krasucki is 1497920995. The last update date is 2021-08-10.
Matthew David Krasucki's current location address is N54w26176 Boden Ln, Sussex, Wisconsin. You can contact this provider via phone number 6309951130. The mailing address for Matthew David Krasucki is N54w26176 Boden Ln, Sussex, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew David Krasucki |
|---|---|
| Address | N54w26176 Boden Ln, Sussex, Wisconsin |
| Phone Number | 6309951130 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497920995 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2021-08-10 |
Provider Mailing Address Detail
| Address | N54w26176 Boden Ln |
|---|---|
| City | Sussex |
| State | Wisconsin (WI) |
| Post Code | 530894269 |
| Phone Number | 6309951130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 54586-020 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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What is the unique identification code assigned to Matthew David Krasucki by the Centers for Medicare & Medicaid Services?
The Matthew David Krasucki has been issued the NPI (National Provider Identifier) 1497920995. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew David Krasucki's physical address?
The Matthew David Krasucki is physically located at N54W26176 Boden Ln, in the city of Sussex, WI, with the postal code 530894269.
What is Matthew David Krasucki's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew David Krasucki's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Matthew David Krasucki receive its 1497920995 assignment from the Centers for Medicare & Medicaid Services?
The Matthew David Krasucki was assigned its 1497920995 by the Centers for Medicare & Medicaid Services on 2008-04-25.
When was the information related to Matthew David Krasucki most recently updated or refreshed?
The details pertaining to the Matthew David Krasucki, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-08-10.