| Donald E. Krouse, M.d., Inc | |
|
560 Main Street Weaverville CA 96093 | |
| (530) 623-3735 | |
| (530) 623-1196 |
| Full Name | Donald E. Krouse, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 560 Main Street, Weaverville, California |
| Authorized Official Name and Position | Donald E Krouse (PRESIDENT/OWNER) |
| Authorized Official Contact | 5306233735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E. Krouse, M.d., Inc Po Box 496084 Redding CA 96049-6084 Ph: (530) 241-0473 | Donald E. Krouse, M.d., Inc 560 Main Street Weaverville CA 96093 Ph: (530) 623-3735 |
| NPI Number | 1427240563 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427240563 | NPI | - | NPPES |
| 00A426130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A42613 (California) | Primary |
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