Individual
DR. JOHN O KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14825 N OUTER 40 ROAD, STE 200, CHESTERFIELD, MO 63017
(314) 336-2555
(314) 336-2640
Mailing address
14 ROCLARE LANE, TOWN AND COUNTRY, MO 63131
(314) 392-5094
(314) 336-2640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107147
MO
Other
Enumeration date
05/27/2005
Last updated
01/05/2009
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