Individual
DR. NICHOLAS DAVID DONHAM KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 269-8186
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 269-8186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597405400
—
MN
Enumeration date
06/01/2005
Last updated
12/30/2021
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