Individual
MACI KRUISSELBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 BROADWAY AVE, SLAYTON, MN 56172-1312
(507) 836-6702
Mailing address
2622 BROADWAY AVE, SLAYTON, MN 56172-1312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125766
MN
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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