Individual
DR. FRIEDERIKE HELENE KREISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4547
(314) 977-7615
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 977-4547
(314) 977-7615
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
036139216
IL
207ZH0000X
Hematology (Pathology) Physician
203009183
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036139216
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2003009183
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209180207
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/14/2006
Last updated
02/05/2021
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