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NPI Code Detail

MEDICARE: SAMANTHA KRUGER

MEDICARE: SAMANTHA KRUGER
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
1163W00000XRegistered Nurse2477246MN

General Provider Information

NPI Number : 1700741352
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KRUGER
Provider Business Mailing Address
First Line : 1200 KENWOOD AVE
Second Line :
City : DULUTH
State : MN
Zip : 55811-4199
Country : US
Telephone Number : 218-723-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1200 KENWOOD AVE
Second Line :
City : DULUTH
State : MN
Zip : 55811-4199
Country : US
Telephone Number : 218-723-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ SAMANTHA KRUGER ” Practice Location

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