HERMAN C KRUSE

GLASTONBURY, CT
NPI1235372343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.003154)
Enumeration Date2009-04-20
Last Update Date2009-04-20
Business Address
Mr. HERMAN C KRUSE ATC, LAT
2345 MAIN ST
GLASTONBURY, CT 06033-2211
Phone number: 800-998-0800
Mailing Address
Mr. HERMAN C KRUSE ATC, LAT
465 OAK ST
DUNDEE, MI 48131-1311
Phone number: 734-529-2274