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Individual

DIRK MITCHELL KROG I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6000
Mailing address
28602 510TH AVE, HENNING, MN 56551-9319
(218) 831-7010

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MO

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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