Provider Demographics
NPI:1932480886
Name:KROKOSKY, ALYSON SCHALL (MS, CGC)
Entity Type:Individual
Prefix:MISS
First Name:ALYSON
Middle Name:SCHALL
Last Name:KROKOSKY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THEDACARE REGIONAL CANCER CENTER - GENETICS
Mailing Address - Street 2:2500 E. CAPITOL DR.
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911
Mailing Address - Country:US
Mailing Address - Phone:920-364-3797
Mailing Address - Fax:
Practice Address - Street 1:THEDACARE REGIONAL CANCER CENTER - GENETICS
Practice Address - Street 2:2500 E. CAPITOL DR.
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911
Practice Address - Country:US
Practice Address - Phone:920-364-3797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS