Douglas a Kruse MD LLC

NPI #1518049204 in Breese, Illinois

Provider Information

NPI Number: 1518049204
Entity Type: Organization
Organization Name: Douglas a Kruse MD LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 20, 2006
Last Updated: Jun 13, 2008

Practice Location

Address: 9495 HOLY CROSS LN
Address 2: SUITE 103
City: Breese
State: Illinois
ZIP Code: 62230-3510
Phone: (618) 526-2222

Authorized Official

Name: MR. DOUGLAS A KRUSE, MD
Title: OWNER
Phone: (618) 526-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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