Individual
MICHAEL KREIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 HOSPITAL DR STE 100, LEBANON, MO 65536-9227
(417) 533-6751
(417) 533-6755
Mailing address
120 HOSPITAL DR STE 100, LEBANON, MO 65536-9227
(417) 533-6751
(417) 533-6755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101025946
MI
207QA0505X
Adult Medicine Physician
Primary
2024044855
MO
Other
Enumeration date
04/19/2019
Last updated
01/17/2025
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