Individual
PAUL W KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 W 86TH ST STE 200, INDIANAPOLIS, IN 46260
(317) 415-6500
Mailing address
2010 W 86TH ST STE 200, INDIANAPOLIS, IN 46260-1930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031988A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071310
—
IN
Enumeration date
03/14/2006
Last updated
06/01/2023
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