Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Maxwell Emerson Kruse, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417419037

Dr. Maxwell Emerson Kruse, MD is a Student in an Organized Health Care Education/Training Program in Jb Andrews, Maryland. Works from 2 locations. Licensed in Maryland and Ohio.

Licensed in
MD, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1060 W Perimeter Rd
Jb Andrews, MD 20762-6602
Phone: (240) 857-2333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3525 Southern Blvd, Kettering, OH 45429-1221 — (937) 395-8839

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence D95791 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1417419037
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2019
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022

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