Individual
SUSAN ELIZABETH CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 ERIE PKWY STE 201E, ERIE, CO 80516-4072
(303) 415-8820
(303) 938-3499
Mailing address
5450 WESTERN AVE, SUITE B, BOULDER, CO 80301-2709
(303) 415-8820
(303) 938-3499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45815
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46473734
—
CO
Enumeration date
05/27/2006
Last updated
01/15/2020
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