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Individual

CHRIS C KROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
625 N FOSTER ST, SUITE 107, MITCHELL, SD 57301-2969
(605) 996-3963
Mailing address
625 N FOSTER ST, SUITE 200, MITCHELL, SD 57301-2969
(605) 996-3963

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
5883
SD
207X00000X
Orthopaedic Surgery Physician
Primary
5883
SD

Other

Enumeration date
07/27/2006
Last updated
07/11/2008
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