Individual
CHERYL KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4111 FRANKLIN ST, MICHIGAN CITY, IN 46360-7803
(219) 879-5400
(219) 879-5900
Mailing address
461 E 1000 S, KOUTS, IN 46347-9730
(219) 766-2167
(219) 879-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7100349A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100474810
—
IN
Enumeration date
09/19/2005
Last updated
12/17/2013
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