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Individual

DR. MARK A KRUSE

Active
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Individual

DR. MARK A KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
04452
IA
111NX0800X
Orthopedic Chiropractor
Primary
04452
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070789
TITLE 19
IA
05
—
1070789
—
IA
01
—
49930
BLUE SHIELD
IA
01
—
6070
SIOUX VALLEY HEALTH
IA
01
—
NE26410
BLUE CROSS OF NE
NE
Enumeration date
01/11/2006
Last updated
07/13/2026
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