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Organization

MYRON K KRUEGER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYRON KEITH KRUEGER MD (OWNER)
(207) 729-0161
Entity
Organization

Contact information

Practice address
331 MAINE STREET, SUITE 24, BRUNSWICK, ME 04011
(207) 729-0161
(207) 721-9199
Mailing address
331 MAINE STREET, SUITE 24, BRUNSWICK, ME 04011
(207) 729-0161
(207) 721-9199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6319
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018296
ANTHEM BCBS OF ME
ME
01
1041452
AETNA
Enumeration date
10/11/2006
Last updated
11/09/2007
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