Individual
THOMAS V KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1410 COMMERCIAL ST SE, SALEM, OR 97302
(503) 370-7364
(503) 375-3643
Mailing address
1410 COMMERCIAL ST SE, SALEM, OR 97302
(503) 370-7364
(503) 375-3643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD11505
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218644
—
OR
Enumeration date
05/26/2006
Last updated
06/07/2016
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