NPI 1003188004

Jacob C Kruger, PAC

Practitioner Physician Assistant Bloomington, MN

Practice location

Address: 4300 Marketpointe Dr STE 100, Bloomington, MN 55435-5435
Phone: (528) 359-9880

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11069 (MN)

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Registry record

NPI: 1003188004
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2012
Record last updated: 19 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.