Provider Demographics
NPI:1275748303
Name:KRUEGER, ANDREW CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CARL
Last Name:KRUEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3942 PALLAS WAY
Mailing Address - Street 2:APT. 2F
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3644
Mailing Address - Country:US
Mailing Address - Phone:339-217-0737
Mailing Address - Fax:
Practice Address - Street 1:4900 KOGER BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2736
Practice Address - Country:US
Practice Address - Phone:336-217-0737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine