Ivan Cruse, MD

NPI #1013769553 in Grandview, Washington

Provider Information

NPI Number: 1013769553
Entity Type: Individual
Name: Ivan Cruse, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Apr 5, 2024
Last Updated: Apr 5, 2024

Practice Location

Address: 1000 WALLACE WAY
City: Grandview
State: Washington
ZIP Code: 98930-8805
Phone: (509) 882-3444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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