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NICHOLAS DAVID DONHAM KRUEGER M.D., NPI 1417959768

Family Medicine in MONTEVIDEO, MN

Last Updated on : Dec 30,2021

About NICHOLAS DAVID DONHAM KRUEGER (NPI 1417959768)


NICHOLAS DAVID DONHAM KRUEGER is a Family Medicine provider in MONTEVIDEO, United States. His medical specialization is Family Medicine .

1417959768 is NPI number of NICHOLAS DAVID DONHAM KRUEGER.

NICHOLAS DAVID DONHAM KRUEGER's primary taxonomy code based on NPI Lookup is 207Q00000X with license number 43698. This taxonomy code refers to Family Medicine.

NICHOLAS DAVID DONHAM KRUEGER has more than 16 years of experience.

NICHOLAS DAVID DONHAM KRUEGER current practice location address is 824 N 11TH ST, MONTEVIDEO, MN. NICHOLAS DAVID DONHAM KRUEGER can be reached out via phone at 320-269-8877 and via fax at 320-269-8186 .

You can also correspond with NICHOLAS DAVID DONHAM KRUEGER through mail at mailing address 824 N 11TH ST, MONTEVIDEO, MN, United States. Mailing address contact number is 320-269-8877.

The enumeration date of NICHOLAS DAVID DONHAM KRUEGER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1417959768 NPI Information

Name NICHOLAS DAVID DONHAM KRUEGER
National Provider Id (NPI) 1417959768
Entity Type Individual
Gender M
Credential M.D.
Practice Address 824 N 11TH ST,
MONTEVIDEO, MN, United States
Practice Telephone 320-269-8877
Practice Fax Number 320-269-8186
Mailing Address 824 N 11TH ST ,
MONTEVIDEO, MN, United States
Mailing Telephone 320-269-8877
Mailing Fax Number 320-269-8186
Enumeration Date 01-Jun-2005
Last Updated Date 30-Dec-2021

NICHOLAS DAVID DONHAM KRUEGER (NPI 1417959768) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207Q00000X Family Medicine 43698 MN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
597405400 MEDICAID (05) MN
80013777 MEDICARE PIN (08) MN
H44331 MEDICARE UPIN (02) MN

NICHOLAS DAVID DONHAM KRUEGER (NPI 1417959768) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1881167831 KYLE POLLARD Behavior Analyst 320 SATURN ST N STE A,
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1124175179 ST. CLOUD VAMC Clinic/Center, VA 1025 N 13TH ST,
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04-Jan-2007
1366420820 CAROLINE MONIZA Psychologist, Clinical Child & Adolescent 2419 WASHINGTON AVE,
MONTEVIDEO, MN, United States
05-Jan-2006
1003963521 PAUL JON RICE Technician, Personal Care Attendant 1306 LINCOLN AVE,
MONTEVIDEO, MN, United States
05-Jan-2007
1285107607 KARLEY DUENWALD Social Worker, Clinical 1234 E HIGHWAY 7,
MONTEVIDEO, MN, United States
08-Jan-2019
1023779261 ANNE LOUISE SHELTON Behavior Technician 1314 N HIAWATHA AVE,
PIPESTONE, MN, United States
09-Jan-2022
1528719259 GABRIELLE LAWVER Behavior Technician 320 SATURN ST N STE A,
COSMOS, MN, United States
13-Jan-2022
1770057184 JARVARIS BENNETT Dental Therapist 2429 3RD AVE SE UNIT A,
WILLMAR, MN, United States
18-Jan-2019
1396497764 BRITTINY LYNN CHERVENY Nurse Practitioner, Primary Care 824 N 11TH ST,
MONTEVIDEO, MN, United States
26-Jan-2022
1902942626 SUNSHINE RATHBUN KAHMANN Chiropractor 218 S 1ST ST,
MONTEVIDEO, MN, United States
29-Jan-2007
1003370495 AMBER BRUNS Behavior Analyst 2419 WASHINGTON AVE.,
MONTEVIDEO, MN, United States
30-Jan-2019
1063165298 BEE WELL CLINIC, PLLC Clinic/Center, Primary Care 1319 GROVE AVE STE 3,
MONTEVIDEO, MN, United States
28-Jan-2022
1992077242 BRANDI LEE TWEETER Dental Assistant 315 N 1ST ST,
MONTEVIDEO, MN, United States
02-Feb-2012
1750034450 NATASHA MARIE EICHORN Nurse Practitioner 824 N 11TH ST,
MONTEVIDEO, MN, United States
02-Feb-2022
1578835716 JERED ROBERT FIELD Physical Therapist 824 N 11TH ST,
MONTEVIDEO, MN, United States
03-Feb-2012
1093787855 BRUCE WESLEY ARVOLD Family Medicine 824 N 11TH ST,
MONTEVIDEO, MN, United States
06-Feb-2006
1104965151 ARNESON PHARMACY INC Pharmacy 1234 E HIGHWAY 7,
MONTEVIDEO, MN, United States
06-Feb-2007
1053735399 JORDAN LEE WAGER Chiropractor PO BOX 306,
DAWSON, MN, United States
06-Feb-2014
1912970179 LISA MARIE BAKER Obstetrics & Gynecology 824 N 11TH ST,
MONTEVIDEO, MN, United States
08-Feb-2006
1902305535 MARISSA LETTINGTON Behavior Technician 2419 WASHINGTON AVE,
MONTEVIDEO, MN, United States
09-Feb-2018

FAQs

Whose NPI Number is 1417959768?

1417959768 is the NPI number of NICHOLAS DAVID DONHAM KRUEGER.

What is the specialty for NICHOLAS DAVID DONHAM KRUEGER?

The Specialty of NICHOLAS DAVID DONHAM KRUEGER is Family Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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