Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan H Kreckman, MD

Individual provider Family Medicine Physician · NPI 1376527002

Susan H Kreckman, MD is a Family Practice in Portage, Wisconsin. Graduated from Wayne State University School of Medicine in 1994, 32 years ago. Practices with Divine Savior Healthcare Inc, a 132-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
32
Trained at
Wayne State University School of Medicine
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2817 New Pinery Rd Divine Savior Healthcare Inc
Portage, WI 53901-0387
Phone: (608) 745-4598
Fax: (608) 745-6242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 39356 (WI)

Record details

NPI number1376527002
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 6, 2005
Last updated in NPPESOctober 14, 2011
Mailing address2817 New Pinery Rd., Divine Savior Healthcare, Inc., Portage, WI 53901-0387

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Divine Savior Healthcare Inc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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