Individual
KELLY M KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
39555 W. TEN MILE, #302, NOVI, MI 48375
(248) 426-7200
(247) 426-7335
Mailing address
39555 W. TEN MILE, #302, NOVI, MI 48375
(248) 426-7200
(247) 426-7335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011317
MI
Other
Enumeration date
01/04/2006
Last updated
12/17/2008
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