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Individual

DR. JOSHUA JAMES KRUSE

Active
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Individual

DR. JOSHUA JAMES KRUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08655
IA
111N00000X
Chiropractor
Primary
1240
SD
111N00000X
Chiropractor
4953
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08390
BLUE CROSS OF IA
IA
01
—
S108002
PTAN
SD
Enumeration date
04/08/2006
Last updated
06/11/2014
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