Individual
MADELINE KRUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8000 MARYLAND AVE STE 760, SAINT LOUIS, MO 63105-3752
(314) 474-0114
Mailing address
975 EMGE RD, O FALLON, MO 63366-2122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021010820
MO
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2020
Last updated
05/15/2025
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