Individual
MATTHEW REID KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Mailing address
3301 7TH AVE, ANOKA, MN 55303-4516
(651) 431-5000
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
59732
MN
2084P0800X
Psychiatry Physician
Primary
59732
MN
Other
Enumeration date
05/13/2012
Last updated
07/21/2022
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