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Individual

PETER KRUMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1901 CONNETICUT AVENUE SOUTH, ST. CLOUD ORTHOPEDICS, SARTELL, MN 56377
(320) 202-5508
(320) 257-5523
Mailing address
1901 CONNETICUT AVENUE SOUTH, ST. CLOUD ORTHOPEDICS, SARTELL, MN 56377
(320) 202-5508
(320) 257-5523

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
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