Individual
GERARD E. KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS,FACP
Contact information
Practice address
7801 38TH AVE N, SAINT PETERSBURG, FL 33710-1107
(727) 345-2064
(727) 345-1645
Mailing address
7801 38TH AVE N, SAINT PETERSBURG, FL 33710-1107
(727) 345-2064
(727) 345-1645
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
9655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67835
BLUECROSSBLUESHEILD
FL
Enumeration date
08/26/2008
Last updated
08/26/2008
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