Individual
CHARLES R SCHRANCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEMORIAL DRIVE, ALTON MEMORIAL HOSPITAL, ALTON, IL 62002
(618) 463-7415
(314) 821-2180
Mailing address
55 WESTPORT PLAZA DRIVE, SUITE 300, ST LOUIS, MO 63146
(314) 548-4772
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036080149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208893305
—
MO
Enumeration date
09/27/2006
Last updated
04/09/2010
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