Individual
DR. MARK BELL KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4416 TRENTON ST, METAIRIE, LA 70006-6527
(504) 885-8899
(504) 885-0762
Mailing address
4416 TRENTON ST, METAIRIE, LA 70006-6527
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1936219
—
LA
Enumeration date
06/30/2006
Last updated
07/08/2007
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