Individual
DEREK ADAM KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-4015
(402) 559-8715
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57678
WI
207RP1001X
Pulmonary Disease Physician
Primary
29960
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2011
Last updated
05/08/2017
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