PHILIP ANTHONY N KRUSEMAN

MINEOLA, NY
NPI1902208671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  017979)
Enumeration Date2014-09-24
Last Update Date2014-09-25
Business Address
Mr. PHILIP ANTHONY N KRUSEMAN PA-C
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 763-412-2803
Mailing Address
Mr. PHILIP ANTHONY N KRUSEMAN PA-C
12861 NIGHTINGALE ST NW
COON RAPIDS, MN 55448-7028
Phone number: 763-412-2803
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