| Doctor Name: | RONALD L KRUEGER |
| NPI Number: | 1154345502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD00020950 |
| Business Practice Address: | 1712 E 34th Ave Spokane, WA - 992034006 |
| Business Phone Number: | 5099545219 |
| Business Fax Number: | |
| Mailing Address: | 1712 E 34th Ave, SPOKANE |
| State: | WA |
| Postal Code: | 992034006 |
| Phone Number: | 5099545219 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 10/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00020950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |