Individual
DR. MENSUD KURJAKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10004 KENNERLY RD STE 364B, SAINT LOUIS, MO 63128-2190
(314) 525-4429
(314) 525-7260
Mailing address
10004 KENNERLY ROAD, STE 364B, ST LOUIS, MO 63128-2190
(314) 525-4429
(314) 525-7260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201037
NY
2084P0800X
Psychiatry Physician
201037-1
NY
2084P0800X
Psychiatry Physician
2017029221
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01847456
—
NY
Enumeration date
07/08/2006
Last updated
02/16/2024
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