MEDICARE: DR. MICHAEL P KRUGER MD

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
1	207X00000X	Orthopaedic Surgery Physician	025963	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010025963CT07	OTHER	CT	ANTHEM PROVIDER NUMBER
2	025963	OTHER	CT	STATE SURGEONS LICENSE
3	3411847	OTHER	CT	AETNA PROVIDER NUMBER
4	P504148	OTHER	CT	OXFORD PROVIDER NUMBER
5	1504531005	OTHER	CT	CIGNA PROVIDER NUMBER
6	000000030194	OTHER	CT	WELLCARE PROVIDER NUMBER
7	14894	OTHER	CT	CONTROLLED SUBSTANCE REG
8	0940200	OTHER	CT	UNITED HEALTHCARE PROVIDE
9	2V5415	OTHER	CT	HEALTHNET PROVIDER NUMBER

General Provider Information

NPI Number	:	1558337436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL P KRUGER MD

Provider Business Mailing Address
First Line	:	673 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3033
Country	:	US
Telephone Number	:	860-242-9910
Fax Number	:

Provider Business Practice Location Address
First Line	:	673 COTTAGE GROVE RD
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3033
Country	:	US
Telephone Number	:	860-242-9910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. MICHAEL P KRUGER MD” Practice Location

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