Provider Demographics
NPI:1669487021
Name:KRUG, HOLLIS ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:HOLLIS
Middle Name:ELAINE
Last Name:KRUG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:RHEUMATOLOGY (111R)
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-4190
Mailing Address - Fax:612-725-2267
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:RHEUMATOLOGY (111R)
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-4190
Practice Address - Fax:612-725-2267
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN29140207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology