Individual
SAMUEL D KRUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
473 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0339
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01032791
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001065500
—
IN
Enumeration date
07/08/2005
Last updated
11/02/2016
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