Provider Demographics
NPI:1730393901
Name:KRUZEL, MARIE ALAINE (DC)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ALAINE
Last Name:KRUZEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 FLAT STONE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7876
Mailing Address - Country:US
Mailing Address - Phone:770-851-6703
Mailing Address - Fax:770-813-9006
Practice Address - Street 1:3460 SUMMIT RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1622
Practice Address - Country:US
Practice Address - Phone:770-813-0087
Practice Address - Fax:770-813-9005
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO05445111N00000X, 111NN0400X, 111NR0200X, 111NS0005X, 111NT0100X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NT0100XChiropractic ProvidersChiropractorThermography
No111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0800XChiropractic ProvidersChiropractorOrthopedic