MRS. Daniele R Krouse, PA-C, LAT, ATC

NPI #1720474471 in Fosston, Minnesota

Provider Information

NPI Number: 1720474471
Entity Type: Individual
Name: MRS. Daniele R Krouse, PA-C, LAT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, LAT, ATC
Enumeration Date: Apr 9, 2015
Last Updated: Aug 2, 2023

Practice Location

Address: 900 HILLIGOSS BLVD SE
City: Fosston
State: Minnesota
ZIP Code: 56542-1599
Phone: (218) 435-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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