Individual
STACY KRUETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 530, ATLANTA, GA 30342-5005
(404) 257-1415
Mailing address
5671 PEACHTREE DUNWOODY RD STE 610, ATLANTA, GA 30342-5013
(404) 257-1415
(404) 851-1649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
79648
GA
207L00000X
Anesthesiology Physician
A118109
CA
Other
Enumeration date
03/26/2010
Last updated
05/31/2024
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