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Individual

DR. RICHARD W. KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C20004245
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
C20004245
DE
207XP3100X
Pediatric Orthopaedic Surgery Physician
OS14323
FL
2080S0010X
Pediatric Sports Medicine Physician
OS14323
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001476918
PA
05
1430611
MD
05
1476918
PA
05
1605765
NY
05
6054102
NJ
05
6401104
VA
05
9840787000
WV
Enumeration date
09/29/2006
Last updated
02/07/2017
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