Groener, Russell John Louis

Groener, Russell John Louis is an individual health care provider with primary practice located at 1 Childrens Pl Dept Anesthesiology, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Groener, Russell John Louis can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
1 Childrens Pl Dept Anesthesiology Saint Louis MO 63110-1002
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2008022987 Missouri
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 2008022987 Missouri

Profile Details

NPI number 1245258706
LBN Legal business name Groener, Russell John Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about 8 months 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 1245258706 NPPES
Missouri MEDICAID 205817208

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