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FREDERICK J KRUGER DPM INC NPI 1508219569


NPI Information

NPI: 1508219569
Provider Name: FREDERICK J KRUGER DPM INC

Former Legal Business Name: FREDERICK J KRUGER DPM

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
530 E HERNDON AVE STE 104
FRESNO, CA
ZIP 93720
Phone: (559) 447-9040
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FREDERICK J KRUGER DPM INC is a foot and ankle surgery podiatrist in Fresno, CA. FREDERICK J KRUGER DPM INC NPI is 1508219569. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Frederick J Kruger Dpm.

The provider's business location address is:

530 E HERNDON AVE STE 104
FRESNO, CA
ZIP 93720-990
Phone: (559) 447-9040

The provider's authorized official is Frederick Julian Kruger .
The authorized official title is Owner/podiatrist and has the following contact phone number (559) 447-9040.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 10/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000E27820MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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