Individual
BRENDA J KRUSE
Active
Individual
BRENDA J KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9539
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109920
MEDICA
MN
01
—
151319
UCARE
MN
01
—
1662208
AMERICAS PPO
—
01
—
41084933956001C171
CHAMPUS
—
01
—
66B52KR
BCBS
MN
05
—
672608900
—
MN
01
—
970018304
RR MEDICARE
—
01
—
HP31696
HEALTH PARTNERS
MN
01
—
NA2951025903
PREFERRED ONE
MN
Enumeration date
01/10/2006
Last updated
07/10/2020
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