Individual
MR. HERMAN C KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2345 MAIN ST, GLASTONBURY, CT 06033-2211
(800) 998-0800
(860) 657-2596
Mailing address
465 OAK ST, DUNDEE, MI 48131-1311
(734) 529-2274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003154
OH
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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