| Doctor Name: | DR. WILLIAM VINCENT KRUG |
| NPI Number: | 1396746731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35.042558 |
| Business Practice Address: | 1611 S Green Rd #146 South Euclid, OH - 441214128 |
| Business Phone Number: | 2163823806 |
| Business Fax Number: | 2163826735 |
| Mailing Address: | 7286 Longview Ave, MENTOR |
| State: | OH |
| Postal Code: | 440606321 |
| Phone Number: | 4402551333 |
| Fax Number: | |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 01/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 35.042558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |