Kruse, Grant David

Kruse, Grant David is an individual health care provider with primary practice located at 411 Laurel St Suite 3170, Des Moines IA 50314-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kruse, Grant David can be contacted via phone (515) 283-0463.

Contact Information

Primary practice address
411 Laurel St Suite 3170 Des Moines IA 50314-3017
Phone: (515) 283-0463
Fax: (515) 283-0794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 24977 Iowa

Profile Details

NPI number 1497747000
LBN Legal business name Kruse, Grant David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 19th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497747000 NPPES
Iowa MEDICAID 0070003

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