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Individual

DR. PAUL LEROY KRUEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3003 N HIGHWAY 61, MUSCATINE, IA 52761-5811
(563) 262-8161
(563) 262-8987
Mailing address
3003 N HIGHWAY 61, PO BOX 1127, MUSCATINE, IA 52761-0019
(563) 262-8161
(563) 262-8987

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02118
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1213751
IA
01
33143
WELLMARK BCBS #
IA
Enumeration date
09/02/2006
Last updated
01/31/2013
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