Gresick, Robert J

Gresick, Robert J is an individual health care provider with primary practice located at 12303 Depaul Dr Depaul Health Center, Bridgeton MO 63044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gresick, Robert J can be contacted via phone (314) 344-6350.

Contact Information

Primary practice address
12303 Depaul Dr Depaul Health Center Bridgeton MO 63044
Phone: (314) 344-6350
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X R1F56 Missouri

Profile Details

NPI number 1992746937
LBN Legal business name Gresick, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992746937 NPPES
Missouri MEDICAID 202672101

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