Individual
MICHAELA ANN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
2906 CROSSING CT, CHAMPAIGN, IL 61822-6163
(217) 356-6543
(217) 366-0037
Mailing address
2906 CROSSING CT, CHAMPAIGN, IL 61822-6163
(217) 356-6543
(217) 366-0037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.006418
IL
Other
Enumeration date
06/25/2010
Last updated
03/18/2015
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