Mrs Niloo Shanya Krueger, MD | |
14256 River Hills Pkwy, Dayton, MN 55327-6100 | |
(612) 618-7983 | |
Not Available |
Full Name | Mrs Niloo Shanya Krueger |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 14256 River Hills Pkwy, Dayton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376856500 | NPI | - | NPPES |
4301097157 | Other | MI | STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF MEDICINE |
5315046687 | Other | MI | STATE OF MICHIGAN - DEPARTMENT OF COMMUNITY HEALTH: BOARD OF PHARMACY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301097157 (Michigan) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 01091080A (Indiana) | Secondary |
208600000X | Surgery | 59465 (Minnesota) | Primary |
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Mrs Niloo Shanya Krueger, MD 14256 River Hills Pkwy, Dayton, MN 55327-6100 Ph: (612) 618-7983 | Mrs Niloo Shanya Krueger, MD 14256 River Hills Pkwy, Dayton, MN 55327-6100 Ph: (612) 618-7983 |