Individual
CHAD A KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
870 E ARKONA RD, STE 100, MILAN, MI 48160-9770
(734) 439-2429
(734) 439-0200
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 327-0872
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301076288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M77480038
MEDICARE PTAN
MI
Enumeration date
12/28/2005
Last updated
01/31/2013
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