Provider Demographics
NPI:1285268342
Name:KREUL, STEVEN (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KREUL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 14TH ST NW STE 101
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0229
Mailing Address - Country:US
Mailing Address - Phone:507-323-9004
Mailing Address - Fax:
Practice Address - Street 1:1610 14TH ST NW STE 101
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-0229
Practice Address - Country:US
Practice Address - Phone:507-323-9004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5517-12111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1396027629Medicaid