Individual
DR. STEWART KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3219 CLIFTON AVE, SUITE 210, CINCINNATI, OH 45220-3027
(513) 984-5133
(513) 281-2313
Mailing address
1945 CEI DRIVE, CINCINNATI, OH 45242-3311
(513) 984-5133
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-03-8207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020961
BCBS
—
05
—
1002470A
—
IN
01
—
180032283
RAILROAD MEDICARE
OH
01
—
180032457
RAILROAD MEDICARE
KY
05
—
337880
—
OH
05
—
64761406
—
KY
Enumeration date
06/28/2006
Last updated
01/27/2014
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