Individual
MRS. DANIELE R KROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1599
(218) 435-1212
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1599
(218) 435-1212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2623
MN
363A00000X
Physician Assistant
Primary
14531
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14531
STATE MEDICAL BOARD
MN
01
—
2623
STATE MEDICAL BOARD
MN
Enumeration date
04/09/2015
Last updated
08/02/2023
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