Individual
RENEE SUZANNE KERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 S NEW BALLAS RD, SUITE R-7040, SAINT LOUIS, MO 63141-8253
(314) 251-5756
(314) 251-1053
Mailing address
625 S NEW BALLAS RD, SUITE R-7040, SAINT LOUIS, MO 63141-8253
(314) 251-5756
(314) 251-1053
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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