Individual
MICHAEL C KRUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0970
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
8115
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060528
—
AZ
Enumeration date
07/10/2007
Last updated
10/24/2019
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