David M Kruse Od PA

NPI #1316140890 in Jackson, Minnesota

Provider Information

NPI Number: 1316140890
Entity Type: Organization
Organization Name: David M Kruse Od PA
Primary Specialty: Optometrist
Enumeration Date: Jun 11, 2007
Last Updated: Aug 18, 2011

Practice Location

Address: 709 2ND ST
City: Jackson
State: Minnesota
ZIP Code: 56143-1647
Phone: (507) 847-5951

Authorized Official

Name: DAVID M KRUSE, OD PA
Title: OPTOMETRIST
Phone: (507) 847-5951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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