Organization
MARK B KRUSE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK B KRUSE DC (OWNER)
(504) 885-8899
Entity
Organization
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
(504) 885-8899
(504) 885-0762
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
02/03/2010
Last updated
02/03/2010
Update your record
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