Individual
MICHAEL D KROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 WEST OAK STREET, PAYNE, OH 45880-1057
(419) 263-1393
(419) 263-1393
Mailing address
110 W. OAK ST, PAYNE, OH 45880-9700
(419) 263-1393
(419) 263-1393
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002265A
IN
111N00000X
Chiropractor
Primary
2973
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2768223
—
OH
Enumeration date
05/10/2006
Last updated
02/12/2008
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