Individual
DR. JOHN J. KRAUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 635-8000
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7724
(573) 636-6908
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34590
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100869
BCBS
MO
01
—
126460
HEALTHLINK
MO
01
—
200021000
PALMETTO
MO
05
—
200651230
—
MO
01
—
CD6060
RAILROAD GROUP
MO
Enumeration date
12/20/2005
Last updated
09/10/2010
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