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Individual

DAVID MICAH KRUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
224 HARTFORD TPKE, VERNON, CT 06066-4763
(860) 728-6740
(860) 547-1554
Mailing address
224 HARTFORD TPKE, VERNON, CT 06066-4763
(860) 728-6740
(860) 547-1554

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
030753
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D10030753CT01
ANTHEM BCBS
Enumeration date
10/28/2005
Last updated
03/27/2024
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