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Brenda J Kruse, PA
Medical Physician Assistant in Mankato, Minnesota
NPI 1780663781

Brenda J Kruse is a Medical Physician Assistant based in Mankato, MN and is specialized in Medical. Brenda J Kruse practices in Mankato, MN and has the professional credentials of PA. The NPI Number for Brenda J Kruse is 1780663781 and holds a License No. 9539 (Minnesota).

The current practice location address for Brenda J Kruse is 1400 E Madison Ave, Mankato, MN and can be reached out via phone at 507-625-1811.

Location: 1400 E Madison Ave, Mankato, MN, 56001-5066
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Provider Profile Details
NPI Number
1780663781
Provider Name
Brenda J Kruse
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1400 E Madison Ave, Mankato, MN, 56001-5066
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970018304 01 RR MEDICARE
0109920 01 MN MEDICA
151319 01 MN UCARE
66B52KR 01 MN BCBS
HP31696 01 MN HEALTH PARTNERS
1662208 01 AMERICAS PPO
41084933956001C171 01 CHAMPUS
672608900 05 MN
NA2951025903 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
1400 E Madison Ave
City
State
Zip
56001-5473
Phone Number
507-625-1811
Fax Number
person
Provider Business Mailing Address Details
Address
1400 E Madison Ave
City
State
Zip
56001-5473
Phone Number
507-625-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9539 (Minnesota)
Definition
Definition to come...
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