Organization
KRUEGER CHIROPRACTIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO WALDEMAR KRUEGER DC (CHIROPRACTOR)
(515) 964-5000
Entity
Organization
Contact information
Practice address
2785 N ANKENY BLVD, ANKENY, IA 50023-4705
(515) 964-5000
Mailing address
2785 N ANKENY BLVD, ANKENY, IA 50023-4705
(515) 964-5000
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
06749
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407944077
—
IA
Enumeration date
06/26/2012
Last updated
06/26/2012
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