Provider Demographics
NPI:1104454685
Name:KRUG, AMELIA SCHUSTER (MD)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:SCHUSTER
Last Name:KRUG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 JACKSON STREET
Mailing Address - Street 2:REGIONS HOSPITAL, MEDICAL TOXICOLOGY, 11102F
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101
Mailing Address - Country:US
Mailing Address - Phone:651-254-5298
Mailing Address - Fax:651-254-5216
Practice Address - Street 1:640 JACKSON STREET
Practice Address - Street 2:REGIONS HOSPITAL, MEDICAL TOXICOLOGY, 11102F
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101
Practice Address - Country:US
Practice Address - Phone:651-254-5298
Practice Address - Fax:651-254-5216
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN79352207PT0002X, 207R00000X, 207P00000X
MN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program