Individual
THOMAS GRANT KRUMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 MICHIGAN AVE W, WALKER, MN 56484-2274
(218) 547-3452
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64127
MN
Other
Enumeration date
04/18/2017
Last updated
07/01/2020
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