# GERARD E. KRUEGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1982851440
- **Gender:** Man
- **Credential:** DDS,MS,FACP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | 9655 | FL | Yes |

## Other

- **Enumeration date:** 08/26/2008
- **Last updated:** 08/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 67835 | BLUECROSSBLUESHEILD | FL |