Individual provider · Type 1 NPI

Mahgen L. Kruse, PA-C

Surgical Physician Assistant · Columbia, TN

NPI number 1649586041 Active

Practice location

1218 Trotwood Ave
Columbia, TN 38401-6406

Call (931) 490-7440 Map

Fax (931) 490-7439

Other practice locations

  • 600 Highland Ave, Madison, WI 53792-0001 · (608) 263-7502

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2833-23 (WI)

Surgical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1649586041

Mahgen L. Kruse, PA-C's National Provider Identifier is 1649586041, issued on Aug 23, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, TN. The record was last updated on Nov 13, 2023.