Individual
CHRISTINA KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CCC-SLP
Contact information
Practice address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
9121
MN
363A00000X
Physician Assistant
Primary
15254
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9121
STATE HEALTHCARE LISCENSE
MN
Enumeration date
05/06/2014
Last updated
03/31/2025
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