Individual
MICHAEL EUGENE KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
452 & 454 SE UNIVERSITY, WAUKEE, IA 50263-8121
(515) 987-0465
(515) 987-0929
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329
(312) 640-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01112
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665190
—
IA
Enumeration date
10/11/2007
Last updated
11/29/2012
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