Individual
RONALD L KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1712 E 34TH AVE, SPOKANE, WA 99203-4006
(509) 954-5219
Mailing address
1712 E 34TH AVE, SPOKANE, WA 99203-4006
(509) 954-5219
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00020950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017334
—
WA
Enumeration date
07/27/2006
Last updated
10/09/2008
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