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Individual

MARC DAVID KRUEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
9050 E 38TH ST, INDIANAPOLIS, IN 46235-2004
(317) 898-9293
(317) 895-1871
Mailing address
1146 IVY LN, INDIANAPOLIS, IN 46220-2657

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022195A
IN

Other

Enumeration date
10/24/2011
Last updated
10/24/2011
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