MEDICARE: DR. MICHAEL STEVEN KRUGER M.D.

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	207QS0010X	Sports Medicine (Family Medicine) Physician	9822	ND
2	207Q00000X	Family Medicine Physician	49109	WI
3	207Q00000X	Family Medicine Physician	48478	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00413961	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01-22323	OTHER		MEDICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	041D6KR	OTHER	MN	BCBS MN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	28340	OTHER	ND	BCBS ND

General Provider Information

NPI Number	:	1801811971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STEVEN KRUGER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5074
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57117-5074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 UNIVERSITY DR S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-4940
Country	:	US
Telephone Number	:	701-234-2000
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	05/12/2026

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Directions to “ DR. MICHAEL STEVEN KRUGER M.D.” Practice Location

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