Individual
DR. SPENCER JAMES KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6425 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2158
(317) 255-2941
(317) 255-1656
Mailing address
6425 N KEYSTONE AVE, INDIANAPOLIS, IN 46220-2158
(317) 255-2941
(317) 255-1656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011139
IN
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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