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Individual

RYAN LEE KROEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
615 S NEW BALLAS, MERCY HOSPITAL INTERNAL MEDICINE DEPARTMENT, ST. LOUIS, MO 63141-8277
(314) 251-5834
(314) 251-4454
Mailing address
615 S NEW BALLAS, MERCY HOSPITAL INTERNAL MEDICINE DEPARTMENT, ST. LOUIS, MO 63141-8277
(314) 251-5834
(314) 251-4454

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014002055
MO

Other

Enumeration date
06/26/2012
Last updated
02/25/2014
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