Krueger, Marc R

Krueger, Marc R is an individual health care provider with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krueger, Marc R can be contacted via phone (209) 334-3411.

Contact Information

Primary practice address
975 S Fairmont Ave Lodi CA 95240-5118
Phone: (209) 334-3411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A5516 California

Profile Details

NPI number 1881749943
LBN Legal business name Krueger, Marc R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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