Individual
WILLEM J KRUGER
Active
Individual
WILLEM J KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02002076
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108109
ANTHEM BCBS
IN
01
—
050071818
MEDICARE RAILROAD
—
05
—
100320110A
—
IN
01
—
1097668
PASSPORT KY MEDICAID
KY
01
—
2436181000
PASSPORT ADVANTAGE
KY
01
—
4123371
AETNA
—
01
—
419199P
SIHO
IN
05
—
64022478
—
KY
Enumeration date
07/03/2006
Last updated
04/23/2015
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