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Individual
DR. OTTO WALDEMAR KRUEGER
Active
Individual
DR. OTTO WALDEMAR KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ATC, LMT
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06749
IA
2255A2300X
Athletic Trainer
00363
IA
225700000X
Massage Therapist
02340
IA
Other
Enumeration date
10/10/2006
Last updated
08/02/2012
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