Krusemark, David

Krusemark, David is an individual health care provider with primary practice located at 800 Medical Center Dr , Fairmont MN 56031-4575. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Krusemark, David can be contacted via phone (507) 238-8555.

Contact Information

Primary practice address
800 Medical Center Dr Fairmont MN 56031-4575
Phone: (507) 238-8555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 084231-0 Minnesota

Profile Details

NPI number 1003891615
LBN Legal business name Krusemark, David
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 9th, 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 1003891615 NPPES
Minnesota Other HP44201 HEALTH PARTNERS
Minnesota Other MH9041027355 HEALTH PARTNERS
Minnesota Other 20-03452 HEALTH PARTNERS
Minnesota MEDICAID 4K003KR HEALTH PARTNERS
Minnesota MEDICAID 171208 HEALTH PARTNERS
Minnesota Other 4K003KR HEALTH PARTNERS
Minnesota MEDICAID 996066 HEALTH PARTNERS

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