Individual
TIMOTHY NICOLAI KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 686-9551
Mailing address
939 HARLOW RD STE 110, SPRINGFIELD, OR 97477-1190
(541) 686-9551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD221810
OR
Other
Enumeration date
04/22/2019
Last updated
01/13/2025
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