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Individual

SARA E KRUEGER

Active
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Individual

SARA E KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0532524
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106528
BLUE CROSS BLUE SHIELD
KS
05
200429600A
KS
Enumeration date
01/20/2006
Last updated
06/13/2014
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