Individual
CHRISTIAN DEMPSEY KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 CENTRAL AVE N, MILACA, MN 56353-1541
(320) 224-6290
Mailing address
505 CENTRAL AVE N, MILACA, MN 56353-1541
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
82-3149358
MN
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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