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Organization

JOHN O. KRAUSE, M.D., LLC

Active
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Organization

JOHN O. KRAUSE, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN O KRAUSE M.D. (PRESIDENT)
(314) 336-2555
Entity
Organization

Contact information

Practice address
14825 N OUTER 40, SUITE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557
Mailing address
14825 N OUTER 40, SUITE 200, CHESTERFIELD, MO 63017-2152
(314) 336-2555
(314) 336-2557

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107147
MO

Other

Enumeration date
08/13/2008
Last updated
08/13/2008
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