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Individual

CHRISTOPHER J OSTROMECKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 BAILEY LN, BENTON, IL 62812-2270
(618) 899-3900
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-2452
(636) 498-5944

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34786-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31985400
WI
Enumeration date
10/31/2005
Last updated
10/21/2020
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