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Individual

DONALD L KAMINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3635 VISTA, 3RD FLOOR, ST LOUIS, MO 63110
(314) 577-8566
(314) 771-1945
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R4922
MO

Other

Enumeration date
09/12/2006
Last updated
01/09/2008
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