Most Relevant Information
Provider Data
| NPI Number: | 1003831793 |
| Provider Name: | ELLEN BETTY KRUUSMAGI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | G61813 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 04/18/2013 |
Provider Practice Location
144 STONY POINT RD
SANTA ROSA
CA
95401
Practice Location Phone/Fax
| Phone: | 7075214500 |
| Fax: | 7075444626 |
Provider Mailing Location
144 STONY POINT RD
SANTA ROSA
CA
95401
Provider Mailing Phone/Fax
| Phone: | 7075214500 |
| Fax: | 7075444626 |
Suggested EMR
Family Practice EMR