Individual
JACO KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3216 NE 45TH PL, SUITE 200, SEATTLE, WA 98105-4093
(206) 525-4000
(206) 525-4098
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8457640
—
WA
Enumeration date
07/05/2006
Last updated
03/21/2008
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