Individual
JOSH KRUIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 CENTRAL AVE N STE 228, WAYZATA, MN 55391-1208
(952) 993-8250
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13454
MN
Other
Enumeration date
03/25/2020
Last updated
10/09/2024
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