Individual
PETER KRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MN100734
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150033
MAYO MANAGEMENT ID
MN
01
—
41163580956301B003
CHAMPUS
MN
01
—
5G694KR
BCBS PROVIDER ID
MN
01
—
6403005
MEDICA PROVIDER ID
MN
01
—
HP24510
HEALTHPARTNERS ID
MN
Enumeration date
12/01/2005
Last updated
01/20/2020
Update your record
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