Provider Demographics
NPI:1871721308
Name:KRUGER, KRAIG (NMN)
Entity type:Individual
Prefix:MR
First Name:KRAIG
Middle Name:(NMN)
Last Name:KRUGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1212
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:MT
Mailing Address - Zip Code:59457-1212
Mailing Address - Country:US
Mailing Address - Phone:406-538-5431
Mailing Address - Fax:
Practice Address - Street 1:511 WEST JANEAUX
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:MT
Practice Address - Zip Code:59457-1212
Practice Address - Country:US
Practice Address - Phone:406-538-5431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi