Individual
DR. JOHN JUDE KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 GAUSE BLVD, SLIDELL, LA 70458-2208
(985) 646-0945
(985) 643-8510
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5459
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10605R
LA
207T00000X
Neurological Surgery Physician
2013003221
MO
207T00000X
Neurological Surgery Physician
22519
MS
207T00000X
Neurological Surgery Physician
MD0000031606
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08876201
—
MS
01
—
1904791
UNITED HEALTHCARE OF MS
MS
01
—
2150375
CIGNA
MS
05
—
3841586
—
TN
01
—
5158737
AETNA
MS
01
—
972784
WINDSOR
MS
01
—
H00316
HEALTHSPRING
MS
01
—
P01206664
RAILROAD MEDICARE
MS
Enumeration date
08/30/2005
Last updated
07/21/2022
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