Individual
DR. MARK A KRUSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4716 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3020
(712) 276-0712
(712) 276-0718
Mailing address
4716 MORNINGSIDE AVE, SIOUX CITY, IA 51106-3020
(712) 276-0712
(712) 276-0718
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
04452
IA
111NX0800X
Orthopedic Chiropractor
Primary
04452
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070789
TITLE 19
IA
05
—
1070789
—
IA
01
—
49930
BLUE SHIELD
IA
01
—
6070
SIOUX VALLEY HEALTH
IA
01
—
NE26410
BLUE CROSS OF NE
NE
Enumeration date
01/11/2006
Last updated
09/11/2025
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