Individual
DAVID ALLEN KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3610
Mailing address
924 CELEBRATION CIR, SARTELL, MN 56377
(319) 621-3732
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54831
MN
208000000X
Pediatrics Physician
R-8721
IA
Other
Enumeration date
06/13/2009
Last updated
08/09/2012
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