Individual
DR. TYLER RANDALL KRUMMENACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 N NEW BALLAS CT, SUITE 200, SAINT LOUIS, MO 63141-7134
(314) 983-4700
(314) 692-9862
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2015021550
MO
Other
Enumeration date
01/04/2010
Last updated
09/30/2015
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