Individual
DR. HARRY GUS GREDITZER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7733 FORSYTH BLVD, SAINT LOUIS, MO 63105-1817
(212) 606-1015
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009020446
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2015043933
MO
2085R0202X
Diagnostic Radiology Physician
274799
NY
2085R0202X
Diagnostic Radiology Physician
ME112133
FL
Other
Enumeration date
07/15/2009
Last updated
11/05/2025
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