Provider Demographics
NPI:1609569037
Name:KRARUP, CHRISTINE T (ABOC, NCLEC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:T
Last Name:KRARUP
Suffix:
Gender:F
Credentials:ABOC, NCLEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 130TH ST
Mailing Address - Street 2:
Mailing Address - City:AMERY
Mailing Address - State:WI
Mailing Address - Zip Code:54001-2849
Mailing Address - Country:US
Mailing Address - Phone:715-222-8584
Mailing Address - Fax:
Practice Address - Street 1:2212 GLACIER DR
Practice Address - Street 2:
Practice Address - City:SAINT CROIX FALLS
Practice Address - State:WI
Practice Address - Zip Code:54024-8347
Practice Address - Country:US
Practice Address - Phone:715-483-2571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens