Individual
MAHGEN L. KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 490-7440
(931) 490-7439
Mailing address
1218 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 490-7440
(931) 490-7439
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2833-23
WI
Other
Enumeration date
08/23/2010
Last updated
11/13/2023
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