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NPI Code Detail

MEDICARE: DR. FREDERICK JULIAN KRUGER DPM

MEDICARE: DR. FREDERICK JULIAN KRUGER DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristE2782CA

General Provider Information

NPI Number : 1417954447
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK JULIAN KRUGER DPM
Provider Business Mailing Address
First Line : 530 E. HERNDON AVENUE
Second Line : SUITE 104
City : FRESNO
State : CA
Zip : 93720-2990
Country : US
Telephone Number : 559-447-9040
Fax Number : 559-447-9042
Provider Business Practice Location Address
First Line : 530 E. HERNDON AVENUE
Second Line : SUITE 104
City : FRESNO
State : CA
Zip : 93720-2990
Country : US
Telephone Number : 559-447-9040
Fax Number : 559-447-9042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 02/03/2011

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