Individual
HEATHER R KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17599 KENWOOD TRL, LAKEVILLE, MN 55044-8330
(952) 428-0200
(952) 428-0399
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(952) 428-0200
(952) 428-0399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42675
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390443100
—
MN
Enumeration date
08/18/2005
Last updated
11/09/2020
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