Individual
MICHAEL DAVID KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1470 PROVIDENCE AVE STE 307, CHESTER, PA 19013-5740
(989) 941-1876
Mailing address
1470 PROVIDENCE AVE STE 307, CHESTER, PA 19013-5740
(989) 941-1876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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