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Organization
DONALD E. KROUSE, M.D., INC
Active
Organization
DONALD E. KROUSE, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E KROUSE M.D. (PRESIDENT/OWNER)
(530) 623-3735
Entity
Organization
Contact information
Practice address
560 MAIN STREET, WEAVERVILLE, CA 96093
(530) 623-3735
(530) 623-1196
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A42613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A426130
—
CA
Enumeration date
08/13/2007
Last updated
10/14/2020
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