Individual
SHAWN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 873-9533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
122459
NC
207L00000X
Anesthesiology Physician
Primary
2008-00219
NC
Other
Enumeration date
04/13/2007
Last updated
04/06/2021
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