Individual provider · Type 1 NPI

Jacob Douglas Krueger, PA-C

Medical Physician Assistant · St. Paul, MN

NPI number 1144563198 Active

Practice location

333 Smith Ave N
St. Paul, MN 55102-2344

Mailing address

2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X11348 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1144563198

Jacob Douglas Krueger, PA-C's National Provider Identifier is 1144563198, issued on Mar 28, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Paul, MN. The record was last updated on Jun 30, 2022.