Male or Other

Dr. Mark B. Kruse D.C.

Orthopedic Chiropractor in Metairie, LA(View on Map)

Full Name

Dr. Mark Bell Kruse D.C.

NPI Number

1104855444

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/30/2006

Specialties

(Taxonomies)

Code

111NX0800X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

878

Contact
Information

Purpose

Mailing
Location

Address

4416 TRENTON ST
4416 TRENTON ST

City

Metairie
Metairie

State

LA
LA

Postal Code

70006-6527
70006-6527

Country

US
US

Telephone Number

N/A
(504) 885-8899

Identifiers

Identifier

1936219

Identifier State

LA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address