Individual
DR. JEROLD JAY KREISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11477 OLDE CABIN RD, STE 200, SAINT LOUIS, MO 63141-7076
(314) 567-5000
(314) 567-3110
Mailing address
11477 OLDE CABIN RD, STE 200, SAINT LOUIS, MO 63141-7130
(314) 567-5000
(314) 567-3110
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R6606
MO
Other
Enumeration date
08/29/2006
Last updated
11/10/2010
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