Steven Grant Kruse, M.D.

Individual provider Active NPI Family Medicine Physician · Huxley, IA

NPI 1023314697 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1023314697
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
15800 (IA)
Practice address
802 Timberlane
Huxley, IA 50124-0097
Phone
(515) 597-2540
Fax
(515) 597-3945
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15800IAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15800 IA Yes

Addresses

Primary practice location

802 Timberlane
Huxley, IA 50124-0097

Mailing address

802 Timberlane
Huxley, IA 50124-0097
Phone (515) 597-2540

Other providers in Huxley, IA

All providers in Huxley, IA · Family Medicine Physician in Iowa

Sources for this page

Verify at the official NPI Registry.