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Individual

DR. JOSHUA JAMES KRUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
330 DAKOTA DUNES BLVD, SUITE 300, DAKOTA DUNES, SD 57049-5461
(605) 217-2100
(605) 217-2099
Mailing address
330 DAKOTA DUNES BLVD, SUITE 300, DAKOTA DUNES, SD 57049-5461
(605) 217-2100
(605) 217-2099

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08655
IA
111N00000X
Chiropractor
Primary
1240
SD
111N00000X
Chiropractor
4953
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08390
BLUE CROSS OF IA
IA
01
S108002
PTAN
SD
Enumeration date
04/08/2006
Last updated
06/11/2014
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