Individual
DR. PAUL G KROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1201 LIGONIER ST, LATROBE, PA 15650-1921
(724) 539-3650
(724) 539-3433
Mailing address
PO BOX 30, 1201 LIGONIER ST, LATROBE, PA 15650-0030
(724) 539-3650
(724) 539-3433
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003511L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210790003
—
PA
Enumeration date
04/10/2006
Last updated
11/07/2007
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