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Individual
GERARD E. KRUEGER
Active
Individual
GERARD E. KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS,FACP
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67835
BLUECROSSBLUESHEILD
FL
Enumeration date
08/26/2008
Last updated
08/26/2008
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