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Individual

ALLISON KRUTSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-8103
(641) 774-8087
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-8103
(641) 774-8087

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001846
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346435146
WELLMARK
IA
01
72483
WELLMARK
IA
Enumeration date
09/14/2007
Last updated
02/08/2012
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