Provider Demographics
NPI:1104454685
Name:KRUG, AMELIA SCHUSTER (MD)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:SCHUSTER
Last Name:KRUG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVE SOUTH
Mailing Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER - EMIM DEPT.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1829
Mailing Address - Country:US
Mailing Address - Phone:612-873-3000
Mailing Address - Fax:612-904-4358
Practice Address - Street 1:701 PARK AVE SOUTH
Practice Address - Street 2:HENNEPIN COUNTY MEDICAL CENTER - EMIM DEPT.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1829
Practice Address - Country:US
Practice Address - Phone:612-873-3000
Practice Address - Fax:612-904-4358
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program