Individual
DR. MARC IAN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1901 VETERANS MEMORIAL DR, BUILDING 162, ROOM 1N30, TEMPLE, TX 76504-7451
(254) 743-1458
Mailing address
4800 MEMORIAL DR, VISN 17 CENTER OF EXCELLENCE, WACO, TX 76711-1329
(254) 297-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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