Individual
DR. NATHAN HARM KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
908 PENNIMAN AVE, PLYMOUTH, MI 48186
(734) 453-7090
(734) 453-9992
Mailing address
908 PENNIMAN AVE, PLYMOUTH, MI 48186
(734) 453-7090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421536382
COMMERICAL
MI
01
—
950H229090
BCBS OF MICHIGAN
MI
Enumeration date
09/20/2006
Last updated
01/27/2009
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