Individual
DR. JOHN SAMUEL KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
45 HARTFORD ST # A, SAN FRANCISCO, CA 94114-2013
(415) 701-8844
Mailing address
45 A HARTFORD ST., SAN FRANCISCO, CA 94114-2013
(415) 701-8844
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G074437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G074437
STATE MEDICAL LICENSE
CA
Enumeration date
01/02/2007
Last updated
07/08/2007
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