Individual
BRUCE R KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20398
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130003347
RAILROAD MEDICARE
MN
05
—
214719000
—
MN
05
—
35177400
—
WI
05
—
ENROLLED
—
IA
Enumeration date
02/02/2006
Last updated
12/28/2009
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